DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SMALL WONDERS CHILDCARE CENTER RAINTREE, LLC

002914743

(636) 797-2273

6008 STATE ROAD B
HILLSBORO
MO  63050-3048

SMALL WONDERS CHILDCARE CENTER RAINTREE, LLC



 

RAMSEY, TIFFANY D

tiffany@yoursmallwonders.com


BRITTANY HECHT

BIRTH - 12 YEARS

64

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 14 CHILDREN UNDER 12 MONTHS
 
Inspection Information

11/05/2025

11:15 AM

1:12 PM

UNANNOUNCED

COMPLIANCE MONITORING

2503259004


DocumentDocument-Date
APPLICATION 09/22/2021
CERTIFICATE OF GOOD STANDING 09/22/2021
CHILD CARE PRACTICES 10/15/2021
DAILY SCHEDULE 10/04/2021
DISCIPLINE POLICIES 10/04/2021
JOB RESPONSIBILITIES 10/04/2021
LINES OF ADMINISTRATIVE AUTHORITY 10/13/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 10/18/2021
POLICIES 10/04/2021
SAFE SLEEP POLICY 10/04/2021
SAMPLE FORMS 10/04/2021
SAMPLE WEEKLY MENU 10/04/2021
LICENSING ORIENTATION 10/06/2021
LLC ARTICLES OF ORGANIZATION 09/22/2021
LLC OPERATING AGREEMENT 10/18/2021
DIAGRAM/INDOOR 10/18/2021
DIAGRAM/OUTDOOR 10/18/2021
DIRECTOR'S QUALIFICATIONS 10/18/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/27/2021
LOCAL BUILDING APPROVAL 10/20/2021
LOCAL ZONING APPROVAL 10/20/2021
EQUIPMENT LIST 11/05/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/05/2025
FIRE/SAFETY INSPECTION 08/06/2025
ANNUAL DECLARATION 11/05/2024
SANITATION INSPECTION 11/05/2025

Overlap Start TimeOverlap End TimeOverlap Submit Date
  4:00PM   5:00PM   4/6/2022
  7:00AM   8:00AM   4/6/2022



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 12
Total Children 36
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Tenessa Mobley & Carissa Lunte, Caregivers 7 - 14-23 Month Olds
1 3 INFANTS AND TODDLERS Nelda (Kay) Smith, Caregiver 3 - 6-7 Month Olds
2 7 MIXED Ashley Nelson & Allie Plassmeyer, Caregivers 6 - 2 Year Olds 1 - 3 Year Old
1 0 NO CHILDREN IN ATTENDANCE Catherine (Kate) Badders, Assistant Director
4 0 NO CHILDREN IN ATTENDANCE Michelle Ivie, Angelica Taylor, Haylee Bardol & Angel Utz, Caregivers
1 9 PRESCHOOL Cheyenne Davis, Caregiver 9 - 3 & 4 Year Olds
1 10 PRESCHOOL Amy Zander, Caregiver 10 - 4 & 5 Year Olds

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: Nelda (Kay) Smith.
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
Medical examination report form did not contain all required information as evidenced by the Medical Provider failed to mark that the patient is in good physical & emotional health & free of contagious disease for the following staff: Angelica Taylor.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff 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
Medical reports shall be 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
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