DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MIM'S JUST LIKE HOME, LLC

002664308

(573) 701-3208

10405 STATE HIGHWAY P
POTOSI
MO  63664-8352

MIM'S JUST LIKE HOME, LLC



 

ADAMS, KIMBERLY SUE

MimsKids18@yahoo.com


LESLEY WARREN

24 MONTHS - 13 YEARS

77

GROUP HOME AND CENTER

 
Inspection Information

10/23/2024

11:50 AM

2:01 PM

UNANNOUNCED

COMPLIANCE MONITORING

2480659488


DocumentDocument-Date
EQUIPMENT LIST 09/26/2024
APPLICATION 06/25/2018
ARTICLES OF INCORPORATION 06/25/2018
CERTIFICATE OF GOOD STANDING 09/05/2018
LLC ARTICLES OF ORGANIZATION 09/05/2018
DIAGRAM/INDOOR 08/21/2018
DIAGRAM/OUTDOOR 08/21/2018
LOCAL ZONING APPROVAL 09/05/2018
LOCAL BUILDING APPROVAL 09/05/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 09/05/2018
STAFF SHEET 08/29/2018
DIRECTOR'S QUALIFICATIONS 09/27/2018
SAMPLE WEEKLY MENU 09/19/2018
JOB RESPONSIBILITIES 09/27/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/27/2018
DAILY SCHEDULE 09/27/2018
DISCIPLINE POLICIES 09/27/2018
LINES OF ADMINISTRATIVE AUTHORITY 10/04/2018
CHILD CARE PRACTICES 10/02/2018
POLICIES 10/02/2018
LLC OPERATING AGREEMENT 10/16/2018
FIRE/SAFETY INSPECTION 07/30/2024
SANITATION INSPECTION 07/29/2024
ANNUAL DECLARATION 09/26/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/26/2024




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 8
Total Children 40
StaffChildClass AgeNote
2 17 MIXED Caregivers Krayle Adams and Sandra Vaughn 3- 2 year olds 7- 3 year olds 7- 4 year olds
1 10 MIXED Caregiver Traci Wilson 3- 2 year olds 4- 3 year olds 3- 4 year olds
2 0 NO CHILDREN IN ATTENDANCE Caregivers Allexis Paul and Carla Zettler returned from break
2 0 NO CHILDREN IN ATTENDANCE Director Kim Adams and Assistant Jessica Bone
1 13 PRESCHOOL Caregiver Caroline Boyster 13- 3 years through 5 year olds

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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by the TV cord in the 2 year old room was unsecured.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
10/23/2024
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
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: Traci Wilson needs 6 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
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
1 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
1 child(ren) records did not include telephone number 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

5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Morgan Blair and Sandra Vaughn.
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
Submit Documentation

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