DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MERCY HOSPITAL SPRINGFIELD

000180709

(417) 820-7955

1831 S FREMONT AVE
SPRINGFIELD
MO  65804

MERCY HOSPITAL SPRINGFIELD

1235 E CHEROKEE ST
SPRINGFIELD
MO  65804-2203

GHAN, KARA GAY

Kara.Ghan@mercy.net

Incorporated

MARI LOCKWOOD

6 WEEKS - 12 YEARS

133

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

12/22/2025

12:30 PM

2:19 PM

UNANNOUNCED

COMPLIANCE MONITORING

2505831304


DocumentDocument-Date
FIRE/SAFETY INSPECTION 09/16/2025
SANITATION INSPECTION 07/01/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/28/2025
EQUIPMENT LIST 10/28/2025
ANNUAL DECLARATION 10/28/2025
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
CERTIFICATE OF GOOD STANDING 10/03/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 4
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 48
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Alicia Bostick in ratio with 4 children all age 1 year old.
1 4 INFANTS AND TODDLERS Marie Wesley in ratio with 4 children ages 4 months to 11 months old.
3 0 NO CHILDREN IN ATTENDANCE Ebbony McCrimmons, Christina Cramer, and Leslie Harvey not in ratio but within the childcare facility.
1 8 PRESCHOOL Matthew Sell in ratio with 8 children ages 3 years to 4 years old.
1 7 PRESCHOOL Jennifer Payne in ratio with 7 children ages 3 years to 4 years old.
2 13 PRESCHOOL Elizabeth Andrews and Hannah Flemming in ratio with 13 children ages 2 years to 3 years old.
2 7 PRESCHOOL Ramona Stewart McCann and Deana Lumley in ratio with 7 children ages 4 years to 5 years old.
1 5 PRESCHOOL Abbigale 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
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
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: Dana Nelson
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
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Alaina Greer needs 1 clock hour for 2024.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

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 2024, the staff listed need the following information: Riley Brown needs 8 clock 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
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: Destiny Thompson.
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

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