DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TURN THE PAGE CHILD DEVELOPMENT CENTER, INC.

000405056

(573) 874-6868

205 HIGHVIEW AVE
COLUMBIA
MO  65203-3212

TURN THE PAGE CHILD DEVELOPMENT CENTER, INC.



 

KENT, MALISSA DAWN

turnthepagecdc@gmail.com

Incorporated

JOY LYNN NICHOLS

BIRTH - 5 YEARS

75

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS; LICENSE INCLUDES ADDRESS: 1205 JEWELL AVENUE, COLUMBIA, MO; 205 HIGHVIEW: MAXIMUM CAPACITY OF BUILDING IS 39, BIRTH- 5 YEARS; 1205 JEWELL AVE: MAXIMUM CAPACITY OF BUILDING IS 43, 2 YRS-5 YRS
 
Inspection Information

05/10/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2470248293


DocumentDocument-Date
SAFE SLEEP POLICY 01/24/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/24/2022
DISCIPLINE POLICIES 10/10/2008
LINES OF ADMINISTRATIVE AUTHORITY 01/11/2010
JOB RESPONSIBILITIES 01/22/2010
DIRECTOR'S QUALIFICATIONS 01/25/2010
CERTIFICATE OF GOOD STANDING 01/22/2012
ARTICLES OF INCORPORATION 09/28/2007
SAMPLE FORMS 10/22/2010
CHILD CARE PRACTICES 10/10/2008
SAMPLE WEEKLY MENU 10/04/1990
DAILY SCHEDULE 09/27/2007
POLICIES 10/10/2008
DIAGRAM/OUTDOOR 01/11/2007
DIAGRAM/INDOOR 01/11/2007
LOCAL ZONING APPROVAL 09/01/2006
LOCAL BUILDING APPROVAL 09/28/2007
APPLICATION 09/26/2018
STAFF SHEET 09/26/2018
SANITATION INSPECTION 10/17/2023
FIRE/SAFETY INSPECTION 10/31/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/31/2024
EQUIPMENT LIST 01/31/2024
ANNUAL DECLARATION 01/31/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Genesis Munoz needs 1 hour.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
5/10/2024
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Amber Toppins and Mya Dixon as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/10/2024
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Amber Toppins and Mya Dixon.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
5/10/2024
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance