DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TIGER CUB CARE

002692199

(660) 465-8511

450 E SIGLER AVE
MEMPHIS
MO  63555-1726

SCOTLAND COUNTY MEMORIAL HOSPITAL DISTRICT



 

WHEELER, LACI MARIE

clinel@scmhnet.com


BETHANY CARREL DUCKWORTH

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

06/11/2024

10:00 AM

11:08 AM

UNANNOUNCED

CLOSE SUPERVISION

2472425562


DocumentDocument-Date
APPLICATION 01/18/2019
SAFE SLEEP POLICY 02/08/2019
REGISTERING FICTITIOUS NAMES 11/22/2017
POLICIES 02/11/2019
CHILD CARE PRACTICES 02/11/2019
DAILY SCHEDULE 02/11/2019
LINES OF ADMINISTRATIVE AUTHORITY 03/13/2019
DISCIPLINE POLICIES 02/11/2019
DIRECTOR'S QUALIFICATIONS 05/12/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/12/2019
JOB RESPONSIBILITIES 03/13/2019
SAMPLE WEEKLY MENU 03/13/2019
LOCAL ZONING APPROVAL 03/20/2019
DIAGRAM/INDOOR 03/13/2019
SAMPLE FORMS 03/13/2019
STAFF SHEET 05/22/2019
DIAGRAM/OUTDOOR 04/22/2019
SANITATION INSPECTION 03/12/2024
FIRE/SAFETY INSPECTION 03/21/2024
EQUIPMENT LIST 05/01/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/01/2024
ANNUAL DECLARATION 05/01/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 7
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 5
Total Children 14
StaffChildClass AgeNote
1 1 INFANTS AND TODDLERS Staff: Heather Wilkerson. Age 6 months.
3 13 MIXED Staff: Cara Ramore, Venessa Spurlock, and Alicia Bishop. Age range 13 months through 4 years. Two children under 2 years old. Three 2 year old children. All children in the outdoor play yard.
1 0 NO CHILDREN IN ATTENDANCE Staff: Laci Wheeler. New Director. Not counted in staff/child ratio at time of inspection.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
The telephone number of the child care provider(s) was not prominently posted near the license.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (13) (A) states: The child care provider(s);
Correction Required
The name, address, and phone number of the provider shall be posted near the license.

Correction Verification
Submit Documentation

Compliance Date

Violation
The name of the child care provider(s) was not prominently posted near the license.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (13) (A) states: The child care provider(s);
Correction Required
The name, address, and phone number of the provider shall be posted near the license.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Venessa Spurlock, Heather Wilkerson, Cara Ramore, Alicia Bishop, Lezah Cline and Lori Fulk within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
6/11/2024
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located on west wall in TV room was/were not in good condition as evidenced by CI Duckworth observed 2 holes in drywall and peeling paint in 4 places.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inch gap at the bottom of the fence on the east side of the preschool play yard area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by black tarp was visible and sticking out of the rubber chips which left tripping hazards for the children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

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
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Laci Wheeler who started 5-30-2024.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

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: Heather Wilkerson needs 7 hours 45 minutes.
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

Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
5/30/2024
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
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: Alicia Bishop.
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
5/31/2024
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
Violation
 Provider Comments
Violation
Venessa Spurlock's transcripts for directorship was due at CC Directors in Central Office to re-determine directorship status by 5-1-2024 via variance and to meet a probationary terms. These were, requested by the department, was/were not submitted.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (11) states: Records and reports shall be submitted to the department as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date
5/30/2024
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