DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

STEPPING STONES ACADEMY

000327980

(636) 343-0340

899 GRAVOIS RD
FENTON
MO  63026

SOUTHSIDE UNITED PRESBYTERIAN CHURCH



 

BORKOWSKI, MICHELLE

MANNING, JAMES

MICHELLERBORKOWSKI@SBCGLOBAL.NET

Incorporated


RHONDA DELMAIN

6 Weeks - 5 Years

98

LICENSE EXEMPT PROGRAM

 
Inspection Information

01/16/2014

11:00 AM

11:36 AM

ANNOUNCED

REINSPECTION

2217540780


DocumentDocument-Date
FIRE/SAFETY INSPECTION 09/30/2013
NOTICE OF PARENTAL RESPONSIBILITY 12/10/2013
SANITATION INSPECTION 09/06/2013




Inspection determined facility to be in compliance with rules.
Open Violations: NA
Attendance at Time of Inspection
Total Staff 5
Total Children 30
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Ms Amanda W. and Ms Jennifer were present with 7 children, ages 22mo-2yrs.
1 3 INFANTS AND TODDLERS Ms Lisa was present with 3 children, ages 6mo-14mo.
1 14 PRESCHOOL Ms Hillary was present with 14 children, ages 4-5yrs.
1 6 PRESCHOOL Ms Tracy was present with 6 children, ages 3-4yrs.

 
19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Not Observed
19 CSR 30-60.050 Staffing Requirements
Violation
 Provider Comments
Violation
There was no signed statement on file for Taylor Briggs as evidence that license rules had been read.
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements 1 (C) states: Prior to starting work, all caregivers shall read the rules of this chapter and sign a statement that they have read the rules. The statements shall be maintained on file at the facility.
Correction Required
Caregivers' signed statements shall be on file.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
19 CSR 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
The facility's storage/disposal of medication was not proper as evidenced by medication was not disposed of or returned to the parent when no longer needed. The medication was located in the infant room. Ms Jennifer stated there were no medication forms for the gas drops and the saline drops.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 10 (F) states: Unused medication shall be returned to the parent or disposed of immediately after it is no longer needed.
Correction Required
Medication shall be inaccessible to children and handled as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
The requirements for medications to be in the original container with proper labeling were not met as evidenced by a nonprescription medication was not labeled by the parent with the child's name.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 10 (B) states: Prescription and nonprescription medication shall be in the original container and labeled with the child's name, instructions for administration, including the times and amounts for dosages, and the physician's name. Sample medication provided by a physician may be used.
Correction Required
Medications shall be in its original container and labeled as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that one child's file needs documentation that required immunizations have been received, are in progress, or an exemption card on file at the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 3 states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination was not signed by the required medical source.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
19 CSR 30-60.070 Responsibilities of Caregivers
Not Observed
19 CSR 30-60.080 Fire Safety Requirements
Not Observed
19 CSR 30-60.090 Sanitation Requirements
Violation
 Provider Comments
Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by the disposal container was not airtight.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (E) states: Wet or soiled disposable diapers shall be placed in an airtight disposal container located in the diaper change area and discarded daily. If cloth diapers are used, they shall be stored in airtight plastic bags and removed from the building daily.
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
The facility did not meet the requirements for diapering surfaces. The diapering surface was not cleaned and sanitized after each use.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (C) states: The diapering surface, after each use, shall be cleaned and sanitized with a sanitizer approved by the department.
Correction Required
The facility shall provide diapering surfaces as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (C) states: Paper towels or a hot-air dryer that is installed and maintained properly, soap and toilet paper shall be provided and accessible so the children can reach them without assistance.
Correction Required
Soap, paper towels or air dryer, and toilet paper shall be accessible.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Requirements for indoor play equipment and materials were not as evidenced by toys/materials were not safe as evidenced by one tricycle on the playground was missing both pedals, and the pedal bars are an impalement hazard.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
Requirements for indoor play equipment and materials were not as evidenced by feeding equipment was not in good condition as evidenced by four high chairs in the IT unit were missing safety straps. Ms Jennifer stated the chairs do not have safety straps.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
Requirements for indoor play equipment and materials were not as evidenced by a crib/playpen was not in good condition as evidenced by four cribs in the IT unit do not have a certificate of compliance available for review.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date
1/16/2014
Violation
The space for infants and toddlers is not separated by floor-to-ceiling walls.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 2 (F) 2 states: A facility with a capacity of more than twenty (20) children or more than four (4) infants and toddlers shall have infant and toddler space separate from the older children. The space shall be separated by floor to- ceiling walls with separate play, sleeping and bathroom space.
Correction Required
Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
The premises were not safe and suitable as evidenced by three outlets in the PS unit did not have safety plugs.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
1/13/2014
Violation
The walls located in the IT Unit was/were not in good condition as evidenced by chipped paint and unfinished drywall was present.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
1/16/2014
19 CSR 30-60.110 Transportation and Field Trip Requirements
Not Observed
19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by three child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
12/11/2013
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
12/11/2013
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
12/11/2013
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Not Observed
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed