DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KIDS ZONE

002105457

(573) 438-5433

402 N MISSOURI
POTOSI
MO  63664

LIFE CHURCH



 

KING, ANGIE D


LIFEBUILTCHURCH@YAHOO.COM



CARRIE ANN WILLIAMS

24 Months - 12 Years

60

LICENSE EXEMPT PROGRAM

 
Inspection Information

09/04/2014

9:15 AM

10:28 AM

ANNOUNCED

ANNUAL

2233653988


DocumentDocument-Date
FIRE/SAFETY INSPECTION 06/10/2014
SANITATION INSPECTION 07/09/2014
NOTICE OF PARENTAL RESPONSIBILITY 08/04/2014




Inspection determined facility to be in compliance with rules.
Open Violations: 5
Attendance at Time of Inspection
Total Staff 2
Total Children 10
StaffChildClass AgeNote
2 10 MIXED Miss Brenda and Miss Angie present with 10 children ages 2-5 years. Also present is Pastor Keith.

 
19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
19 CSR 30-60.050 Staffing Requirements
Compliance
19 CSR 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
Requirements for children's medical examination reports were not met as evidenced by the school-age child health report was not on file the first day the child attended - the admission date was 3-14-13.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 4 states: A parent of a school-age child shall provide a statement at the time of enrollment indicating the child's health history, any current health problems and any restrictions necessary for the child's care.
Correction Required
Children's physical assessment reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 2 children need updated records.
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

19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
19 CSR 30-60.080 Fire Safety Requirements
Compliance
19 CSR 30-60.090 Sanitation Requirements
Compliance
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Compliance
19 CSR 30-60.110 Transportation and Field Trip Requirements
Violation
 Provider Comments
Violation
Written parental consent was not on file for field trips and transportation provided by the facility.
Licensing Rule Reference
19 CSR 30-60.110 Transportation and Field Trip Requirements 1 (A) states: Written parental consent shall be on file for field trips and transportation, and the facility director shall have a procedure on file for handling emergencies.
Correction Required
Written parental consent and a procedure for handling emergencies shall be on file at the facility for field trips and transportation.

Correction Verification
Submit Documentation

Compliance Date

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 1 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

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 5 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

RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance