DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A TOUCH ABOVE CHILDCARE LLC

002633190

(417) 736-4646

9379 E EVERGREEN ST
STRAFFORD
MO  65757-9049

A TOUCH ABOVE CHILDCARE LLC

268 GEORGIA RD
STRAFFORD
MO  65757-8981

SCHATZER, MELISSA

atouchabovechildcare@kidsneed.net


ELAINE S COX

BIRTH - 12 YEARS

72

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS
 
Inspection Information

08/12/2024

1:10 PM

3:02 PM

UNANNOUNCED

COMPLIANCE MONITORING

2474960477


DocumentDocument-Date
FIRE/SAFETY INSPECTION 01/22/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/31/2024
EQUIPMENT LIST 01/31/2024
ANNUAL DECLARATION 02/01/2024
SANITATION INSPECTION 02/05/2024
CERTIFICATE OF GOOD STANDING 02/29/2024
DIAGRAM/OUTDOOR 12/05/2016
OWNER/PROVIDER REFERENCES 01/04/2017
DAILY SCHEDULE 12/05/2016
SAMPLE WEEKLY MENU 12/05/2016
LOCAL BUILDING APPROVAL 12/05/2016
JOB RESPONSIBILITIES 12/05/2016
LINES OF ADMINISTRATIVE AUTHORITY 12/05/2016
DIRECTOR'S QUALIFICATIONS 12/05/2016
LLC ARTICLES OF ORGANIZATION 12/05/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 03/02/2017
ARTICLES OF INCORPORATION 12/05/2016
LOCAL ZONING APPROVAL 03/02/2017
DISCIPLINE POLICIES 12/05/2016
DIAGRAM/INDOOR 11/15/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/09/2019
SAFE SLEEP POLICY 01/09/2019
LLC OPERATING AGREEMENT 03/02/2022
CHILD CARE PRACTICES 04/22/2022
POLICIES 04/22/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:20PM   5:20PM   3/3/2017



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
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 7
Total Children 52
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Karrina Moss and Madilyn Luna with 7 children ages 3 months to 16 months,
1 7 PRESCHOOL Britney Gavin with 7 children ages 4-years-old.
1 10 PRESCHOOL Brooklynn Russell with 10 children ages 3-years-old.
2 21 SCHOOL AGE Jolie Gritts and Melissa Schatzer with 21 children ages 5-years-old to 10-years-old.
1 7 TWO YEAR OLDS Christie Mikkleson with 7 children ages 2-years-old.

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
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 21 calm children , ages 5-years-old to 11 years-old, were cared for by 1 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.

Correction Verification
Return Inspection

Compliance Date

Violation
Staff/child ratio requirements were not met as evidenced by 7 children with 4 of those were napping children , ages 3 months to 16 months, were cared for by 1 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.

Correction Verification
Return Inspection

Compliance Date

Violation
Staff/child ratio requirements were not met as evidenced by 7 napping children , ages 4 years, were cared for by 0 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.122 Medical Examination Reports
Not Observed
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
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Violation
 Provider Comments
Violation
Requirements for supervision of napping or sleeping children were not met as evidenced by the caregiver was present with napping children but was unable to see and hear all children.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 5. states: A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken.
Correction Required
A caregiver shall be in the room with napping children, and shall be able to see and hear them.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 5. states: A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken.
Correction Required
A caregiver shall be in the room with napping children, and shall be able to see and hear them.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed