DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GOLDEN VALLEY DAY CARE CENTER

000186025

(660) 885-8016

408 W ROGERS
CLINTON
MO  64735

GOLDEN VALLEY DAY CARE CENTER



 

FOSTER, CHRISTINA KAYE

GOLDENVALLEYDAYCARE@YAHOO.COM

Incorporated

CAYLIN MERTZ

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

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

08/19/2024

1:09 PM

2:24 PM

UNANNOUNCED

SUPPLEMENTAL

2476244843


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 09/20/2003
JOB RESPONSIBILITIES 09/20/1993
CHILD CARE PRACTICES 04/30/1982
SAMPLE WEEKLY MENU 09/20/1993
DAILY SCHEDULE 09/06/1994
POLICIES 09/06/1994
DIAGRAM/OUTDOOR 09/20/1993
DIAGRAM/INDOOR 12/01/1993
CERTIFICATE OF GOOD STANDING 07/27/2009
ARTICLES OF INCORPORATION 10/11/1972
LOCAL ZONING APPROVAL 09/20/1993
LOCAL BUILDING APPROVAL 09/20/1993
APPLICATION 01/15/2021
DIRECTOR'S QUALIFICATIONS 02/15/2022
EQUIPMENT LIST 02/01/2024
FIRE/SAFETY INSPECTION 01/18/2022
STAFF SHEET 02/03/2023
SANITATION INSPECTION 12/13/2023
ANNUAL DECLARATION 02/01/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/01/2024




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 13
Total Children 56
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Kelsey Ballaw and Madison Casey with four children ages 1 to 10 months old.
2 4 INFANTS AND TODDLERS Rhonda Reese and Victoria Clevenger with four children age 1 year old.
2 13 MIXED Peggy Schmidli and Amber Evans with 13 children ages 4 to 5 years old.
2 11 MIXED Joyce Baumgarden and Remington Johnson with 11 children; six 2 year old children and five 3 year old children.
2 0 NO CHILDREN IN ATTENDANCE Christy Foster and Bonnie Gifford also present but not in ratio.
1 5 PRESCHOOL Jayde Breden with five 3 year old children.
2 19 SCHOOL AGE Sydney Johnson and Heather Hood with 19 children ages 5 to 8 years old.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
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
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
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
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by a child enrollment form for Child A was observed and does not have accurate parent information.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
One child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
One child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
One child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
One child(ren) records did not include name of individual authorized to take the child from the facility.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (E) states: Name of the individual(s) authorized to take the child from the facility;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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