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On June 10, 2024 the Office of Childhood (OOC) received a report alleging that "The facility does not do proper paperwork on new employees, including their FCSR, eligibility letter, physicals and TBs.." After conducting an investigation, Compliance Inspector (CI) Caylin Mertz has found this allegation to be substantiated based on the following evidence and rule violations:
5 CSR 25-600.020 (1) which states "Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department."
AND
5 CSR 25-600.020 (2) which states "A prospective child care staff member may begin work for a child care provider if:" (A) "The prospective child care staff member has received notice from the department that the individual is eligible for employment or presence in a child care setting; or"
On June 12, 2024 CI Caylin Mertz conducted an unannounced inspection at the facility. A walkthrough was also conducted. CI Mertz reviewed all caregiver files. Deanna Tracey, Kirstin Cotten, Kylie Cole, and Serena Rearden all had criminal background checks on file dated after their start date at the facility. Krista Coontz, Tiffany Hanes, Devan Everson and Brooklyn Birdsley did not have criminal background checks on file at all and are current employees. Tiffany Hanes, Brooklyn Birdsley and Devan Everson were counting in ratio with children at the time of the inspection.
5 CSR 25-600.020 (5) which states "Criminal background checks shall be completed for each child care staff member every five (5) years."
On June 12, 2024, CI Mertz observed Director Amy Cole's criminal background check dated April 16, 2019, which is not within the last five years.
5 CSR 25-500.122(1)(A) which states "All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment."
On June 12, 2024, CI Mertz observed Kylie Cole's hire date to be January 28, 2024 and her file did not contain a medical examination report. CI Mertz also observed that Deanna Tracey, Kirstin Cotten, and Tellia Gunn's files contained medical examination reports that were conducted more than thirty days after their date of hire.
5 CSR 25-500.122(1)(B) which 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."
On June 12, 2024, CI Mertz observed Kylie Cole's hire date to be January 28, 2024 and her file did not contain a TB Risk Assessment or negative TST. CI Mertz also observed that Deanna Tracey and Tellia Gunn's files contained TB Risk Assessments that were conducted more than thirty days after their date of hire.
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