MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MERCY HOSPITAL SPRINGFIELD

Facility DVN
000180709

Phone
(417) 820-7955

Physical Address
1831 S FREMONT AVE
SPRINGFIELD
MO 65804

Owner
MERCY HOSPITAL SPRINGFIELD

Mailing Address
1235 E CHEROKEE ST
SPRINGFIELD
MO 65804-2203

Provider/Director
GHAN, KARA GAY

E-mail Address
Kara.Ghan@mercy.net

Incorporated
Incorporated

Child Care Specialist
MARI LOCKWOOD

Age Range
6 WEEKS - 12 YEARS

Capacity
133

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
06/10/2025

Arrival Time
2:50 PM

Departure Time
3:37 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2495539224

Document	Document-Date
SAMPLE WEEKLY MENU	10/24/1984
POLICIES	10/21/2009
LOCAL ZONING APPROVAL	10/05/2005
LOCAL BUILDING APPROVAL	10/05/2005
LINES OF ADMINISTRATIVE AUTHORITY	01/26/1982
JOB RESPONSIBILITIES	10/31/1997
DISCIPLINE POLICIES	10/21/2009
DIRECTOR'S QUALIFICATIONS	05/19/2006
DAILY SCHEDULE	10/24/1997
ARTICLES OF INCORPORATION	03/24/1982
CHILD CARE PRACTICES	10/21/2009
DIAGRAM/INDOOR	08/14/2014
DIAGRAM/OUTDOOR	08/15/2014
SAFE SLEEP POLICY	10/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/09/2019
STAFF SHEET	12/22/2020
APPLICATION	11/20/2023
SANITATION INSPECTION	09/27/2023
CERTIFICATE OF GOOD STANDING	10/03/2023
ANNUAL DECLARATION	10/29/2024
EQUIPMENT LIST	10/29/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/29/2024
FIRE/SAFETY INSPECTION	10/07/2024

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 50

Staff	Child	Class Age	Note
1	3	INFANTS AND TODDLERS	Elise Wesley in ratio with 3 children ages 10 months to 11 months old.
2	6	INFANTS AND TODDLERS	Sierra Cramer and Christina Cramer in ratio with 6 children ages 1 year to 2 years old.
2	0	NO CHILDREN IN ATTENDANCE	Kara Ghan and Ebbony McCrimmons not in ratio but within the childcare facility.
2	6	PRESCHOOL	Matthew Sell and Dana Nelson in ratio with 6 children ages 3 years to 4 years old.
2	9	PRESCHOOL	Sheila Jones and Allie Hovde in ratio with 9 children ages 3 years to 4 years.
2	9	PRESCHOOL	Lainie Greer and Kimberly Jones in ratio with 9 children all age 3 years old.
2	9	PRESCHOOL	Riley Brown and Hannah Fleming in ratio with 9 children ages 2 years to 3 years old.
1	3	PRESCHOOL	Misty Cramer in ratio with 3 children all age 5 years old.
1	5	PRESCHOOL	Abigail Loftis in ratio with 5 children ages 4 years to 5 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 sanitation inspection was not approved. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification Submit Documentation Compliance Date
Violation The annual sanitation inspection was not conducted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification Submit Documentation Compliance Date 5/16/2025

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Compliance

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

Compliance

5 CSR 25-500.112 Staff/Child Ratios

Compliance

5 CSR 25-500.122 Medical Examination Reports

Compliance

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