DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTER FOR HUMAN SERVICES, INC.

002971977

(816) 884-8006

404 S LINCOLN RD
HARRISONVILLE
MO  64701-3180

CENTER FOR HUMAN SERVICES, INC.

1003 CLARK ST
CLINTON
MO  64735-1726

KEE, TIMOTHY

skee@chs-mo.org

Incorporated

KRYSTAL WILLIAMS

6 WEEKS - 5 YEARS

64

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

12/10/2024

11:30 AM

1:03 PM

UNANNOUNCED

COMPLIANCE MONITORING

2483922185


DocumentDocument-Date
APPLICATION 08/16/2022
ARTICLES OF INCORPORATION 11/22/2022
LINES OF ADMINISTRATIVE AUTHORITY 11/22/2022
DAILY SCHEDULE 11/22/2022
CERTIFICATE OF GOOD STANDING 09/14/2022
LOCAL ZONING APPROVAL 09/14/2022
DIAGRAM/INDOOR 09/05/2022
DIAGRAM/OUTDOOR 09/05/2022
JOB RESPONSIBILITIES 09/14/2022
CHILD CARE PRACTICES 09/14/2022
DISCIPLINE POLICIES 09/14/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/14/2022
EQUIPMENT LIST 12/06/2024
FIRE/SAFETY INSPECTION 10/07/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/06/2024
ANNUAL DECLARATION 12/06/2024
SANITATION INSPECTION 09/20/2024




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 15
Total Children 20
StaffChildClass AgeNote
3 6 INFANTS AND TODDLERS Emmy Adams, Denise Holden, and Kadence Cornelius with six children, 18-months-to-2-years
2 6 INFANTS AND TODDLERS Stephanie Levsen and Kayla McGee with six children, 9-months-to-2-years-old
1 0 NO CHILDREN IN ATTENDANCE Cassidy Chastain with no children on break
3 0 NO CHILDREN IN ATTENDANCE Cassidy Howe, Paxton Luis, and Christian Mitchell doing training
2 0 NO CHILDREN IN ATTENDANCE Timothy Kee and Judy Moles in Office with no children
1 0 NO CHILDREN IN ATTENDANCE Jessica Spies with no children in Kitchen
3 8 PRESCHOOL Issabella Dowell, Caitlyn Morin, and Lois Hastings with eight children, 3-to-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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4.5 inches at the bottom of the gate.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, spring, in the older playground was not free of pointed parts as evidenced by broken spring sticking up from the concrete.
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
Submit Documentation

Compliance Date

Violation
Stationary equipment, Sun Shade, was unsafe as evidenced by the equipment had exposed footings.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were Child A.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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