DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

002947093

(417) 851-1560

2020 EVERGREEN PKWY
LEBANON
MO  65536-4611

ADVOCATES FOR A HEALTHY COMMUNITY, INC.

440 E TAMPA ST
SPRINGFIELD
MO  65806-1131

MILLER, BRITTANY NICOLE

earlychildhood@jordanvalley.org


ALLA GERASIMOVA

6 WEEKS - 12 YEARS

60

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/25/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2478830088


DocumentDocument-Date
POLICIES 08/11/2022
DIAGRAM/INDOOR 04/11/2022
DIAGRAM/OUTDOOR 04/11/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/24/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/11/2022
ARTICLES OF INCORPORATION 04/11/2022
JOB RESPONSIBILITIES 08/11/2022
CERTIFICATE OF GOOD STANDING 04/11/2022
REGISTERING FICTITIOUS NAMES 04/11/2022
CHILD CARE PRACTICES 06/06/2022
DISCIPLINE POLICIES 06/06/2022
LICENSING ORIENTATION 06/13/2022
FIRE/SAFETY INSPECTION 05/10/2024
LOCAL BUILDING APPROVAL 04/27/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 08/30/2022
LOCAL ZONING APPROVAL 04/07/2022
SAMPLE FORMS 08/11/2022
SANITATION INSPECTION 05/03/2024
APPLICATION 08/23/2022
EQUIPMENT LIST 08/28/2024
SAMPLE WEEKLY MENU 08/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/28/2024
DAILY SCHEDULE 08/24/2022
DIRECTOR'S QUALIFICATIONS 04/14/2022
SAFE SLEEP POLICY 08/11/2022
ANNUAL DECLARATION 08/28/2024

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/7/2023



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
Safe sleep training was not completed within the past 3 years for the following staff Brittany Miller.
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
Submit Documentation

Compliance Date
9/24/2024
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: Chapman Tracy, Chapman Vanessa, Miller Brittany, Schmidt Melissa have expired TB tests.
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
9/24/2024
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