DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE MIRACLES LEARNING CENTER

002481872

(573) 846-5028

17 SYCAMORE RD
PERRYVILLE
MO  63775-1210

PAISLEY, CHRISTINA



 

PAISLEY, CHRISTINA

littlemiracles17@gmail.com


JESSICA SPENCER

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/12/2024

8:25 AM

12:13 PM

UNANNOUNCED

COMPLIANCE MONITORING

2476005279


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 06/25/2014
POLICIES 08/13/2014
LOCAL ZONING APPROVAL 08/13/2014
DISCIPLINE POLICIES 08/12/2014
SAMPLE WEEKLY MENU 08/12/2014
DIAGRAM/OUTDOOR 08/12/2014
DIAGRAM/INDOOR 08/12/2014
DAILY SCHEDULE 08/12/2014
OWNER/PROVIDER REFERENCES 08/15/2014
DIRECTOR'S QUALIFICATIONS 08/15/2014
CHILD CARE PRACTICES 08/15/2014
JOB RESPONSIBILITIES 01/04/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 01/04/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/13/2014
STAFF SHEET 06/04/2018
APPLICATION 06/25/2018
FIRE/SAFETY INSPECTION 05/22/2024
SANITATION INSPECTION 10/13/2023
ANNUAL DECLARATION 08/12/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/12/2024
EQUIPMENT LIST 08/12/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 14
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 10
Total Children 51
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Caregiver, Debbie Talarski with three children five months to seven months.
1 4 INFANTS AND TODDLERS Caregiver, Ashley Martin with four children fifteen months to eighteen months.
1 4 INFANTS AND TODDLERS Caregiver, Myah Paisley with four children fifteen months to twenty-one months.
1 9 MIXED Caregiver, Tara McGraw with two children two years of age, four children three years of age and three children four years of age.
3 0 NO CHILDREN IN ATTENDANCE Marsha Parker- Cook Rachel Boatman- Assistant Director Christina Paisley- Director
1 9 PRESCHOOL Caregiver, Rachael Niermann with nine children four years of age to five years of age.
1 15 SCHOOL AGE Danielle Bergmann with fifteen children six years of age to eleven years of age.
1 7 TWO YEAR OLDS Caregiver, Caeley Scheman with seven children all two years of age.

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
Violation
 Provider Comments
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Return Inspection

Compliance Date
5/22/2024
Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The ceilings located in I/T Unit 1 was/were not in good condition as evidenced by two ceiling tiles were stained and appeared to have water damage.
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
Return Inspection

Compliance Date
8/12/2024
Violation
The ceilings located in the 3-Year Old Room was/were not in good condition as evidenced by four ceiling tiles were stained and appeared to have water damage.
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
Return Inspection

Compliance Date
8/12/2024
Violation
The ceilings located in the 3-year-old classroom back window was/were not in good condition as evidenced by the water has leaked causing the sheetrock at top of window/ceiling to peel and break. The broken section is approximately 2-3 feet long and 12-14" wide. Upwards of 30 pieces/chunks of broken sheetrock are laying in the window sill. As of 9/19/2023, the pieces/chunks of broken sheetrock were no longer present in the window sill.
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
Return Inspection

Compliance Date
8/12/2024
Violation
The ceilings located in I/T Unit 1 was/were not finished with material which can be cleaned easily as evidenced by a water leak occurred causing the sheetrock/paint at the top of the window/ceiling to begin peeling and cracking.
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
Return Inspection

Compliance Date
8/12/2024
Violation
The ceilings located in the I/T Unit was/were not in good condition as evidenced by one tile located above the refrigerator had water damage and mold.
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
Return Inspection

Compliance Date
8/12/2024
Violation
The ceilings located in I/T Unit 3 was/were not in good condition as evidenced by three ceiling tiles located in the back-right corner were stained and appeared to have water damage.
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
Return Inspection

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
Violation
 Provider Comments
Violation
Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used.
Correction Required
Safe and secure feeding equipment shall be provided as required.

Correction Verification
Corrected on Site

Compliance Date
8/12/2024
Violation
Outdoor equipment, Little Tikes Pirate Ship, in the I/T play area was not in good condition as evidenced by the bottom two steps were cracked.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Caeley Scheman.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Elania Burton, Ashley Martin and Jaelynne Pingel did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Return Inspection

Compliance Date

Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Maeghan Fuller needs 2 clock hours and Caeley Scheman needs 2 clock hours for 2023. As of 6/5/2024, Caeley Scheman needs 2 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Return Inspection

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: Danielle Bergmann needs 12 hours, Myah Paisley needs 12 hours, Christina Paisley needs 12 hours, Lacey Stubberg needs 12 hours, Marsha Parker needs 6 hours and Deborah Talarski needs 12 hours. As of 4/24/2024, Danielle Bergmann needs 12 hours, Myah Paisley needs 12 hours, Christina Paisley needs 8 hours, Marsha Parker needs 6 hours and Deborah Talarski needs 12 hours. As of 5/1/2024, Danielle Bergmann needs 12 hours, Myah Paisley needs 12 hours, Christina Paisley needs 3.5 hours, Marsha Parker needs 6 hours and Deborah Talarski needs 12 hours. As of 6/5/2024, Danielle Bergmann needs 12 hours, Myah Paisley needs 12 hours, Marsha Parker needs 6 hours and Deborah Talarski needs 12 hours. As of 8/12/2024, Danielle Bergmann needs 12 hours, Myah Paisley needs 9 hours, Marsha Parker needs 6 hours, Debbie Talarski needs 12 hours and Lacey Strubberg needs 12 hours.
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
Return Inspection

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Christina Paisley needs 12 hours, Rachel Boatman needs .75 hours, Rachael Niermann needs 12 hours, Myah Paisley needs 7 hours, Brooke Palmer needs 5 hours, Lacey Strubberg needs 8 hours, Deborah Telarski needs 12 hours, Sara Whittaker needs 8 hours and Danielle Bergmann needs 7 hours. As of 10/23/2023, Christina Paisley needs 4 hours, Myah Paisley needs 2 hours, Lacey Strubberg needs 3 hours, Deborah Talarski needs 8 hours and Danielle Bergmann needs 2 hours. As of 12/4/2023, Christina Paisley needs 1 hour, Myah Paisley needs 2 hours, Lacey Strubberg needs 3 hours, Deborah Talarski needs 8 hours and Danielle Bergmann needs 2 hours. As of 2/1/2024, Christina Paisley needs 1 hour, Myah Paisley needs 2 hours, Lacey Strubberg needs 1 hour, Deborah Talarski needs 5 hours and Danielle Bergmann needs 2 hours. As of 4/24/2024, Deborah Talarski needs 3 hours.
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
Return Inspection

Compliance Date

Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Lacey Strubberg needs 1 hour for 2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Return Inspection

Compliance Date

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 Elania Burton, Tara McGraw, Jaylah Paisley, Jaelynne Pingel, Caeley Scheman and Lacey Strubberg 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
Return Inspection

Compliance Date

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: Elania Burton, Tara McGraw, Jaylah Paisley, Caeley Scheman and Jaelynne Pingel .
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
Return Inspection

Compliance Date

Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 7/1/2024.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Lacey Strubberg.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Return Inspection

Compliance Date

Violation
Criminal background check results were not on file for Ashley Martin, Ana Diaz and Olivia Shaffer.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Return Inspection

Compliance Date

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