DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STEPHEN'S HOUSE

001612517

(816) 741-5056

5755 N NORTHWOOD RD
KANSAS CITY
MO  64151

LOS NINOS III, INC.



 

KRUG, JANICE

OSUBALLGIRL12@ATT.NET

Incorporated

CRYSTAL HEISER

6 WEEKS - 12 YEARS

156

GROUP HOME AND CENTER

40 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

09/18/2024

10:00 AM

12:19 PM

UNANNOUNCED

COMPLIANCE MONITORING

2481395585


DocumentDocument-Date
DISCIPLINE POLICIES 09/14/2001
LINES OF ADMINISTRATIVE AUTHORITY 09/14/2001
JOB RESPONSIBILITIES 09/14/2001
DIRECTOR'S QUALIFICATIONS 04/28/2003
CHILD CARE PRACTICES 09/14/2001
DAILY SCHEDULE 09/14/2001
POLICIES 09/14/2001
DIAGRAM/OUTDOOR 09/19/2001
DIAGRAM/INDOOR 12/22/2004
ARTICLES OF INCORPORATION 09/14/2001
SAMPLE WEEKLY MENU 06/12/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/30/2018
SAFE SLEEP POLICY 01/30/2018
LOCAL BUILDING APPROVAL 09/10/2001
LOCAL FIRE DEPARTMENT NOTIFICATION 10/17/2017
APPLICATION 06/26/2019
CERTIFICATE OF GOOD STANDING 09/09/2021
SANITATION INSPECTION 04/17/2024
ANNUAL DECLARATION 07/30/2024
EQUIPMENT LIST 07/30/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/30/2024
FIRE/SAFETY INSPECTION 07/18/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 9
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 21
Total Children 104
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Room 7 - Caregivers Cassandra Glass and Kaytlyn Osborn with five children under the age of 12 months
2 8 INFANTS AND TODDLERS Room 5- 6 - Caregivers Tiffanie Zimbelman and Deqo Mohamed with eight children all under 24 months of age
1 4 INFANTS AND TODDLERS Room 3 - Caregiver Rita Istaro with four children all under the age of 24 months. (Rooms 2 & 3 were outside on playground together - 3 staff to 10 infant and toddlers.)
2 6 INFANTS AND TODDLERS Room 2 - Caregivers Rita Albert and Christina Lindow with six children all under 24 months of age. (Rooms 2 & 3 were outside on playground together - 3 staff to 10 infant and toddlers.)
2 6 INFANTS AND TODDLERS Room 1 - Caregivers Adrianna Bustamante and Marvy Osiena with six children all under the age of 12 months.
2 0 NO CHILDREN IN ATTENDANCE Jan Krug and Katelyn Calkins with no children in attendance
1 9 PRESCHOOL Room 10 - Caregiver Marsiann Ruta with nine children all 3 years of age
1 6 PRESCHOOL Room 17 - Caregiver Laura Diedrichs with 6 children all 4 - 5 years of age
1 9 PRESCHOOL Room 16 - Caregiver Mary Hurd with 9 children ages 3 - 5 years of age
1 10 PRESCHOOL Room 15 - Caregiver Lestie Tena with ten children all 3 - 4 years of age
1 7 PRESCHOOL Room 14 - Caregiver Lori Antognazzi with 7 children all 3 - 4 years of age
1 8 TWO YEAR OLDS Room 13 - Caregiver Maria Gallo with eight children all two years of age
1 8 TWO YEAR OLDS Room 13 - Caregiver Marie Gallo with eight children all 2 years of age
1 7 TWO YEAR OLDS Room 12 - Caregiver Stacy Roberts with seven children all 2 years of age
1 7 TWO YEAR OLDS Room 11 - Caregiver Kathryn Bruce - Reeves with seven children all 2 years of age
1 4 TWO YEAR OLDS Room 8 - Angelica Hernandez with four children all 2 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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in Room 4 was/were not in good condition as evidenced by chipping paint on box on wall.
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
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: Hand sanitizer. The item(s) was/were located Room 15 on shelf.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
9/18/2024
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the date of the drill was not recorded.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Corrected on Site

Compliance Date
9/18/2024
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, Dump truck, in older playground was not in good condition as evidenced by cracked plastic in bed of truck.
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
Corrected on Site

Compliance Date
9/18/2024
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by vinyl couches in Rooms 5 and 11 have torn vinyl.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.
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
9/18/2024
Violation
Furniture/equipment, Teacher Chair, in Room 10 was not in good condition as evidenced by peeling vinyl.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Furniture/equipment, Teacher black cabinet, in Room 12 was not in good condition as evidenced by chipping paint.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Furniture/equipment, shelf, in Room 12 was not in good condition as evidenced by exposed screws on top where particle board has chipped off.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Furniture/equipment, Purple cabinet, in Room 13 was not in good condition as evidenced by chipping paint.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Furniture/equipment, Shelf, in Room 13 was not in good condition as evidenced by Bottom shelf insert is not attached.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Group size requirements were not met as evidenced by (Rooms 2 & 3 were outside on playground together) 10 children, ages 12 to 24 months, were cared for by three 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
Compliance
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
Violation
 Provider Comments
Violation
Three child(ren) records did not include work schedule of 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
Corrected on Site

Compliance Date
9/18/2024
Violation
Two child(ren) records did not include work telephone number of 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
Corrected on Site

Compliance Date
9/18/2024
Violation
One child(ren) records did not include employers' address of 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
Corrected on Site

Compliance Date
9/18/2024
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
Corrected on Site

Compliance Date
9/18/2024
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were older than five (5) years for Cassandra Glass.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
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