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

07/08/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2496647917


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 06/12/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/12/2024
FIRE/SAFETY INSPECTION 05/19/2025
SANITATION INSPECTION 06/09/2025
ANNUAL DECLARATION 12/12/2024




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.

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
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
Violation
 Provider Comments
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: 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
7/7/2025
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
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