DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHRISTIAN COMMUNITY CARE CENTER, INC.

000186525

(573) 785-7570

1601 N MAIN ST
POPLAR BLUFF
MO  63901-3439

CHRISTIAN COMMUNITY CARE CENTER, INC.



 

BARKER, DANA LEA

TINYTOWNCHILDCARE@HOTMAIL.COM

Incorporated

MELISSA JILL SMITH

BIRTH - 14 YEARS

99

GROUP HOME AND CENTER

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

11/08/2024

9:21 AM

10:38 AM

UNANNOUNCED

REINSPECTION

2483748160


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 07/29/2015
DIAGRAM/INDOOR 05/01/2009
DIAGRAM/OUTDOOR 05/01/2009
SAMPLE WEEKLY MENU 04/24/2015
CHILD CARE PRACTICES 12/01/1982
ARTICLES OF INCORPORATION 12/01/1982
LINES OF ADMINISTRATIVE AUTHORITY 12/01/1982
POLICIES 12/01/1982
DAILY SCHEDULE 12/01/1982
DISCIPLINE POLICIES 12/01/1982
JOB RESPONSIBILITIES 12/01/1982
LOCAL ZONING APPROVAL 12/01/1982
LOCAL FIRE DEPARTMENT NOTIFICATION 01/15/2016
CERTIFICATE OF GOOD STANDING 05/02/2018
STAFF SHEET 05/22/2018
SAFE SLEEP POLICY 05/02/2016
APPLICATION 06/23/2020
EQUIPMENT LIST 07/01/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/06/2021
ANNUAL DECLARATION 07/07/2021
FIRE/SAFETY INSPECTION 05/10/2024
SANITATION INSPECTION 06/21/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 11
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 14
Total Children 35
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Caregiver Brooke Meyer 3- 12 weeks old through 10 months old
3 6 INFANTS AND TODDLERS Caregivers Rena Payne, Kimberly Winnett and Taylor Maiala 6- 14 months through 23 months
1 3 MIXED Caregiver Kamora Hill 1- 2 year old 2- 3 year olds
4 0 NO CHILDREN IN ATTENDANCE Designated Person In Charge Amanda Merrill, Cook Brooklyn Gambling, Caregivers/Floaters Kenisha Knighten and K'Lynn Serad
1 8 PRESCHOOL Caregiver Kelly Burgess 8- 4 years through 5 years old
1 8 PRESCHOOL Caregiver Kendra Bonner 8- 3 years through 4 years old
3 7 TWO YEAR OLDS Caregivers Skylar Tipton, Kerina Barker and Jasmine Sturdevant 7- 2 year olds

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 Family Care Safety Registry check was not conducted for Dana Barker, Kendra Bonner, Elizabeth Burgess, Keneshia Knighten, Taylor Maijala, Amanda Merrill, Brooke Meyer, Elisabeth Smith, Kimberly Winnett, Kamora Hill, Kerina Barker, Brooklyn Gambling within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and 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, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date
9/18/2024
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
11/8/2024
Violation
The facility's outdoor space was not safe for children's activities as evidenced by popsicle wrappers and paper cups were on the I/T playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
11/8/2024
Violation
The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by space was reduced by the first room on the right side of the hallway was being used for storage at the time of the inspection. As of 2/21/2024 the room has been cleaned out but is not setup for use. As of 5/6/24 the room has equipment and toys but is not yet finished with setup. As of 5/13/2024 the space was ready for children to use, At the time of the inspection the room had big cardboard boxes and 3 trash bags.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care.
Correction Required
The facility shall provide thirty-five square feet of usable space per child.

Correction Verification
Submit Documentation

Compliance Date
11/8/2024
Violation
The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by space was reduced by the third room on the left side of the hallway was being used for storage at the time of the inspection.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care.
Correction Required
The facility shall provide thirty-five square feet of usable space per child.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Elizabeth Burgess, Taylor Maijala, Kamora Hill, Kerina Barker, Brooklyn Gambling. As of 11/8/2024 Kamora hill, Kerina Barker, Elizabeth Burgess and Brooklyn Gambling need safe sleep 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
Submit Documentation

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: Brooke Meyer needs 4 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
11/8/2024
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Kendra Bonner, Elizabeth Burgess, Keneshia Knighten, Taylor Maijala, Amanda Merrill, Elisabeth Smith, Kamora Hill, Kerina Barker, Brooklyn Gambling. As of 11/8/2024 Kendra, Elizabeth, Keneshia, Taylor, Elisabeth, Kamora, Kerina, and Brooklyn
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
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: Kendra Bonner, Elizabeth Burgess, Kamora Hill, Kerina Barker, Brooklyn Gambling. As of 11/8/2024 Kamora Hill needs a TB or TB Risk Assessment Form.
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

Violation
Medical examination report(s) was/were not on file for Kendra Bonner, Elizabeth Burgess, Kamora Hill, Kerina Barker, Brooklyn Gambling. As of 11/8/2024 Kamora Hill needs a medical 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
Submit Documentation

Compliance Date

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
2 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

Violation
2 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

5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Elizabeth Burgess, Taylor Maijala, Kamora Hill, Kerina Barker, Brooklyn Gambling.
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

Violation
Criminal background check results were older than five (5) years for Dana Barker, Brooke Meyer, Kimberly Winnett.
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
11/8/2024
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