DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

LIVING WORD

000758587

(636) 821-2800

17315 MANCHESTER RD
WILDWOOD
MO  63038

ELLISVILLE UNITED METHODIST CHURCH



 

JOHNSTON, AMY

AJOHNSTON@LIVINGWORDUMC.ORG


ANGELA CLARK

18 Months - 6 Years

113

LICENSE EXEMPT PROGRAM

 
Inspection Information

05/04/2016

9:00 AM

11:14 AM

ANNOUNCED

ANNUAL

2280044403


DocumentDocument-Date
FIRE/SAFETY INSPECTION 03/29/2016
SANITATION INSPECTION 02/01/2016
NOTICE OF PARENTAL RESPONSIBILITY 05/04/2016




Inspection determined facility to be in compliance with rules.
Open Violations: 4
Attendance at Time of Inspection
Total Staff 15
Total Children 63
StaffChildClass AgeNote
2 7 MIXED Amy and Karen with 3 to 4 year old children
2 10 MIXED Ann and Amy with 3 to 4 year old children
2 9 MIXED Rebecca and Sherry with 2 to 3 year old children
1 0 NO CHILDREN IN ATTENDANCE Amy Johnston
2 12 PRESCHOOL Beth and Amanda with 4 to 5 year old children
2 12 PRESCHOOL Rebecca and Karen with 4 to 5 year old children
2 5 PRESCHOOL Darlene and Karen with 3 year old children
2 8 TWO YEAR OLDS Michele and Michelle with 2 year old children

 
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
Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 24 months.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) 3 states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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

Violation
Requirements for children's medical examination reports were not met as evidenced by the medical form did not contain all required information in that it was missing whether the child was fit to be in a childcare program.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 2 states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports 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
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Lysol wipes and empty grocery bags. The item(s) was/were located room 111.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
5/4/2016
Violation
Hazardous items as follows were accessible to children: empty grocery bags. The item(s) was/were located room 108.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
5/4/2016
19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
 Provider Comments
Violation
Background screening was not on file for Michelle Brown, Karen McCowen, Amy Schmid,Karen Tshcannen, Ann VanLue, Michele Wolfe, as evidenced by screening results were not current within two years.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2 (4) states: Notification that background checks have been conducted on each individual caregiver and all other personnel at the facility. The background check shall be conducted upon employment and every two years thereafter on each individual caregiver and all other personnel at the facility. Such background check shall include a screening for child abuse or neglect through the division of family services, and a criminal record review through the Missouri highway patrol pursuant to section 43.540, RSMo. The fee for the criminal record review shall be limited to the actual costs incurred by the Missouri highway patrol in conducting such review not to exceed ten dollars.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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