DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OPERATION BREAKTHROUGH, INC.

000181824

(816) 756-3511

3039 TROOST AVE
KANSAS CITY
MO  64109

OPERATION BREAKTHROUGH, INC.



 

MULKEY, MARY E

marym@operationbreakthrough.org

Incorporated

RACHEL CATRELL

6 WEEKS - 16 YEARS

741

GROUP HOME AND CENTER

64 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

12/12/2024

8:00 AM

1:42 PM

UNANNOUNCED

COMPLIANCE MONITORING

2484144317


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 10/01/2013
DIAGRAM/INDOOR 02/14/2006
DIAGRAM/OUTDOOR 02/14/2006
LINES OF ADMINISTRATIVE AUTHORITY 05/01/1979
SAMPLE FORMS 02/19/1982
SAMPLE WEEKLY MENU 10/04/1993
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/01/2012
SAFE SLEEP POLICY 08/29/2012
CHILD CARE PRACTICES 05/24/2018
DAILY SCHEDULE 05/24/2018
DISCIPLINE POLICIES 05/24/2018
JOB RESPONSIBILITIES 05/24/2018
POLICIES 05/24/2018
APPLICATION 10/18/2022
CERTIFICATE OF GOOD STANDING 10/03/2022
EQUIPMENT LIST 12/12/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/12/2024
FIRE/SAFETY INSPECTION 10/10/2024
SANITATION INSPECTION 10/21/2024
ANNUAL DECLARATION 12/12/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 12
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 97
Total Children 275
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Caregiver Melissa Hutcherson with 2 children aged 7 months old.
2 3 INFANTS AND TODDLERS Caregivers Ashley Jacobs and Haley Beachman with 3 children all 1 years old.
2 5 INFANTS AND TODDLERS Caregiver Claire Ungashick and Ashanti Nickson with 5 children aged 9 months- 1 year old.
2 6 INFANTS AND TODDLERS Caregivers Andrea Williams and Belinda Williams with 6 children aged 5 mon-1 year old. Volunteer Lasandra Rile also in classroom not counting in ratio.
2 7 INFANTS AND TODDLERS Caregivers Chaniequa Johnson and Arica Rice with 7 children all 1 years old.
2 6 MIXED Caregivers Allyshia Johnson and Lisa Flannagen with 6 children 4- 1 year olds and 2- 2 year olds.
1 4 MIXED Caregiver Reola Hamlett with 4 children 3-1 year olds and 1-2 year old.
2 3 MIXED Caregivers Camila Jones and Ramona Simmons with 3 children, 2- 3 year olds and 1- 2 year old.
1 4 MIXED Caregivers Tiffany Henderson and Jordan Newham with 4 children 1- 2 year old and 3- 3 year olds.
1 3 MIXED Caregiver Flor Salinas with 3 children 1- 2 year old and 2- 3 year olds.
34 0 NO CHILDREN IN ATTENDANCE Caregivers Melissa Phillippi, Peyton Brasfield, Lindsey Taylor, Jane Bishop-Degan, Mary Mulkey, Tequila Boyd, Teresa Boyd, Wanda Hudson-Washington, Donis Beale, Lee Duckett, Bobby Gray, Chris Rogers, Jessica Kibby, Tosha Miller, Jenna Bruzinski, Latrice Chiney, Michell Jones, Brandy Perez, Kimmikka Brown, Rodney Sanders, Lennette Johnston, Jane Webb, Brigette Barton, Debra McCaney-Jones, Sheila Davis, Erica Handley, Ashley Bland, Jessica Greene, Ruby Martin, Dixie Glenn, Robert Gunn, Triva Jackson, Keyonna Robinson, and Willie Wilkins Jr.
1 3 PRESCHOOL Caregiver Andrea Paige with 3 children all 3 years old.
1 3 PRESCHOOL Caregiver Lori Flannagen with 3 children all 3 years old.
2 13 PRESCHOOL Caregivers Lacey Leezer and Lakhyia Trice with 13 children all 4-5 years old.
3 9 PRESCHOOL Caregivers Eve Tores, Cassandra Timmons, Carol Shepard with 9 children all 4-5 years old.
2 15 PRESCHOOL Caregivers Donald Black and Robert Jackson with 15 children all 4-5 years old.
3 15 PRESCHOOL Caregivers Jada Reed, Caroline Lloyd and Makayla Bradford with 15 children all 3-4 years old.
2 7 PRESCHOOL Caregivers Jennifer Petty and Bonnie Daniels with 7 children all 4-5 years old.
3 18 PRESCHOOL Caregivers Sarah Sturgis, Joshua Ellison and Aliyah Weston with 18 children all 4-5 years old. Volunteer Lisa Holsten also in the room not counting in ratio.
3 16 PRESCHOOL Caregiver Lynn Day, Abby Buhman and Yalanda Walker with 16 children all 4-5 years old.
1 6 PRESCHOOL Caregivers Kiara Brown with 6 children aged 3-5 years old.
1 5 PRESCHOOL Caregiver Jenny Anderson with 5 children aged 3-5 years old.
2 6 PRESCHOOL Caregivers Kelly Burgos and Aime Nzayikorerea with 6 children aged 3-4 years old.
3 8 PRESCHOOL Caregivers Dejanae Gaines, Brittany Rohers and Midajah Smith with 8 children all 4-5 years old.
1 8 PRESCHOOL Caregiver Cathy Ramirez with 8 children all aged 3-5 years old. 2 volunteers also in the room not counting in ratio, Javion Mahone and Haley Nichols.
12

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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Chasidy Brown and Amiya Jones 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

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: multiple paint canisters. The item(s) was/were located in an unlocked cabinet in an Infant/Toddler room. Caregivers asked for someone to bring in a lock and locked it up.
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
12/12/2024
Violation
The walls located in Orange 2 was/were not clean as evidenced by brown splash on the wall near the water fountain. Looks similar to rust or water damage.
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 facility's outdoor space was not safe for children's activities as evidenced by on the upstairs (blue neighborhood) Infant/Toddler playground there was bird poop under the tree in the middle covering the ground and some nearby toys.
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

Violation
The walls located in rooms Orange 2, Orange 1, Yellow 4 and KCPS 1 was/were not in good condition as evidenced by Orange 2 has chipping paint on the wall across from the diapering area, Orange 1 has chipping paint in the crib area on the right side orange painted wall, Yellow 4 has showing wall putty that needs to be painted over, and KCPS 1 has paint and wall chipping by the handwashing station outside of the bathroom.
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 floors located in Hogan 1 was/were not in good condition as evidenced by inside the bathroom corner by the door there is trim that is ripping off showing the glue underneath it. And on the far wall in the room, beside the bathroom, there is no trim and there is a part of the wall that is coming off near the floor.
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
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the playmat near the diapering changing table in I/T room Blue 1 had a brown stain on it.
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
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by a big green pillow/beanbag in Blue 1 had multiple stains on it. It was removed from the classroom.
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
Corrected on Site

Compliance Date
12/12/2024
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Chasidy Brown and Amiya Jones
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

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: Jane Bishop-Degan needs 1.5 hours, Peyton Brasfield needs 1 hour, Arki Collins needs 2 hours, Sparkle Day needs 2 hours, Erika Forsythe needs 6 hours, Allyshia Johnson needs 3 hours, Danisha Littlejohn needs 3 hours, Lessie Merritt needs 2 hours, Allissa Patton needs 12 hours, Ramona Simmons needs 1 hour, Aliyah Weston needs 1 hour, Andrea Williams needs 2 hours, and Gavin wood 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
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Amiya Jones and Chasidy Brown 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

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: Amiya Jones and Chasidy Brown.
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
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 8/19/2024 and 8/22/2024.
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
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
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
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 Zariah Williams, Amiya Jones and Chasidy Brown.
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