DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DUNCAN ACADEMY, INC.

001913568

(816) 847-2022

1405 NW PERSIMMON
GRAIN VALLEY
MO  64029

DUNCAN ACADEMY, INC.



 

GILLETTE, ALISON

ali@duncanacademy.com


BIONICA D SMITHJACKSON

6 WEEKS - 12 YEARS

145

GROUP HOME AND CENTER

29 CHILDREN IN THE INFANT/TODDLER UNIT; 12 CHILDREN UNDER 12 MONTHS; 116 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

12/10/2024

1:00 PM

2:51 PM

UNANNOUNCED

COMPLIANCE MONITORING

2483970644


DocumentDocument-Date
SAMPLE WEEKLY MENU 07/18/2005
SAMPLE FORMS 07/18/2005
POLICIES 07/18/2005
LOCAL ZONING APPROVAL 07/21/2005
LOCAL BUILDING APPROVAL 07/21/2005
LINES OF ADMINISTRATIVE AUTHORITY 07/18/2005
DIRECTOR'S QUALIFICATIONS 07/18/2005
DIAGRAM/OUTDOOR 07/22/2005
DIAGRAM/INDOOR 07/22/2005
DAILY SCHEDULE 07/18/2005
CHILD CARE PRACTICES 07/18/2005
ARTICLES OF INCORPORATION 09/07/2004
DISCIPLINE POLICIES 07/18/2005
JOB RESPONSIBILITIES 07/18/2005
REGISTERING FICTITIOUS NAMES 04/05/2015
SAFE SLEEP POLICY 04/11/2018
APPLICATION 04/10/2019
CERTIFICATE OF GOOD STANDING 06/14/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/10/2019
EQUIPMENT LIST 06/20/2024
STAFF SHEET 05/01/2021
SANITATION INSPECTION 05/10/2024
FIRE/SAFETY INSPECTION 04/03/2024
ANNUAL DECLARATION 06/20/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/20/2024




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 17
Total Children 96
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS caregivers Madison Stansbury and Kristi Fellers with eight children under 24-months-old
1 7 INFANTS AND TODDLERS caregiver Krystal Harper with seven children under 24-months-old
1 8 INFANTS AND TODDLERS caregiver Emily Moores with eight children under 24-months-old
1 8 MIXED caregiver Megan Brewer with eight children; one 2-years-old and seven 3-years-old
3 0 NO CHILDREN IN ATTENDANCE director Ali Gillette and staff Ashley Benny and Nicole Love with no children
2 16 PRESCHOOL caregivers Jessica Brockman and Jennifer Giles with sixteen children; 4-to-5-years-old
1 12 PRESCHOOL caregiver Aleigha Cox with twelve children; 3-to-4-years-old (nap time)
1 9 PRESCHOOL caregiver Jennifer Browning with nine children; 3-years-old
2 12 PRESCHOOL caregivers Kennedee Martin and Kari Eggert with twelve children; 3-to-4-years-old
1 8 TWO YEAR OLDS caregiver Yvette Burr with eight children; 2-years-old
2 8 TWO YEAR OLDS caregivers Malea Eddington and Jessica Plymell with eight children; 2-years-old

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
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by kitchen door unlocked.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
12/10/2024
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet covers.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
12/10/2024
Violation
Hazardous items as follows were accessible to children: various sunscreens . The item(s) was/were located in an unlocked closet.
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
12/10/2024
Violation
The walls located in monkeys #1 and back hallway was/were not clean as evidenced by chipping paint and dusty vent.
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
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
12/10/2024
Violation
The ceilings located infant room bathroom was/were not clean as evidenced by dusty vent.
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

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
Violation
 Provider Comments
Violation
Furniture/equipment, chairs , in ducklings and ladybugs was not in good condition as evidenced by stained.
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
9/26/2024
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1'.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

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
Staff/child ratio requirements were not met as evidenced by 7 children , ages under 24-months-old, were cared for by 1 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

Violation
Staff/child ratio requirements were not met as evidenced by 8 children , ages under 24-months-old, were cared for by 1 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
Violation
 Provider Comments
Violation
The medical examination report on file was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another child care facility for subsequent employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/19/2024
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
Not Observed
5 CSR 25-500.182 Child Care Program
Violation
 Provider Comments
Violation
Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by a three year old child was restrained in a high chair due to her aggressive behavior.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (C) 8. states: No discipline technique which is humiliating, threatening, or frightening to children shall be used. Children shall not be shamed, ridiculed, or spoken to harshly, abusively, or with profanity.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

Correction Verification
Submit Documentation

Compliance Date
11/25/2024
Violation
Children were permitted to intimidate or harm others as evidenced by a child at the facility kicked her caregiver, pulled her hair and knocked her glasses off her face.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (C) 11. states: Children shall not be permitted to intimidate or harm others, harm themselves, or destroy property.
Correction Required
Children shall not be allowed to intimidate or harm others, harm themselves or destroy property.

Correction Verification
Submit Documentation

Compliance Date
11/20/2024
5 CSR 25-500.192 Health Care
Compliance
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
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Savannah Barndt, Aden Gillette, Hailey Hemme, and Jessica Plymell.
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
10/1/2024
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