DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TENDERCARE LEARNING CENTER #4

001631569

(636) 946-8440

1804 BOONE'S LICK RD
ST CHARLES
MO  63301

LLTC, INC.



 

PAUL, SARAH LYNN

TCLCBN4@YAHOO.COM

Incorporated

AMY MUSSELMAN

1 MONTH - 14 YEARS

68

GROUP HOME AND CENTER

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

06/17/2025

9:45 AM

10:29 AM

UNANNOUNCED

COMPLIANCE MONITORING

2495303114


DocumentDocument-Date
POLICIES 10/26/2001
DIAGRAM/INDOOR 11/13/2001
DIAGRAM/OUTDOOR 11/13/2001
DISCIPLINE POLICIES 10/26/2001
JOB RESPONSIBILITIES 11/26/2001
SAMPLE FORMS 10/26/2001
LINES OF ADMINISTRATIVE AUTHORITY 08/28/2001
SAMPLE WEEKLY MENU 10/26/2001
CHILD CARE PRACTICES 10/26/2001
DAILY SCHEDULE 12/11/2001
LOCAL FIRE DEPARTMENT NOTIFICATION 10/14/2015
APPLICATION 07/22/2019
STAFF SHEET 10/10/2019
SAFE SLEEP POLICY 12/17/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/11/2021
DIRECTOR'S QUALIFICATIONS 06/08/2021
ANNUAL DECLARATION 06/17/2025
REGISTERING FICTITIOUS NAMES 11/20/2023
LOCAL ZONING APPROVAL 08/12/2024
LOCAL BUILDING APPROVAL 09/12/2024
EQUIPMENT LIST 12/17/2024
FIRE/SAFETY INSPECTION 10/30/2024
CERTIFICATE OF GOOD STANDING 12/17/2024
SANITATION INSPECTION 09/12/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/17/2024

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   9/21/2021



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
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 5
Total Children 23
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Rosario Echevarria, teacher, was in attendance with four children, ages 3-months-old to 8-months-old.
1 4 INFANTS AND TODDLERS Sirley Bojorquez, teacher, was in attendance with four children, ages 12-months-old to 23-months-old.
1 6 MIXED Myla Mueller, teacher, was in attendance with six children, ages 2-years-old to 3-years-old.
1 0 NO CHILDREN IN ATTENDANCE Sarah Paul, Director, was in attendance with no children present.
1 9 SCHOOL AGE Hailey Graham, teacher, was in attendance with nine children, ages 5-years-old to 10-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
Violation
 Provider Comments
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
6/17/2025
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in hallway to pre-k classroom was/were not finished with material which can be cleaned easily as evidenced by drywall mud covering holes in wall is unpainted/unfinished.
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
3/22/2025
Violation
The facility's outdoor space was not safe for children's activities as evidenced by plastic bag located on the infant/toddler playground causing a suffocation hazard.
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
Corrected on Site

Compliance Date
6/17/2025
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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
4/2/2025
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 09/28/2023.
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
3/20/2025
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
Violation
 Provider Comments
Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by the disposal container was not airtight.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (E) 5. states: Wet or soiled diapers shall be placed in an airtight disposal container located in the diaper change area. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.

Correction Verification
Corrected on Site

Compliance Date
6/17/2025
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