DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KINGDOM ACADEMY

002559511

(816) 492-5668

10306 BLUE RIDGE BLVD
KANSAS CITY
MO  64134-1913

BLUE HILLS CHURCH OF THE NAZARENE



 

BROWN, JOYCE A

brownj64@yahoo.com


ROMENA FOX

6 WEEKS - 12 YEARS

49

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/01/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2312508130


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/01/2016
SANITATION INSPECTION 12/01/2016
NOTICE OF PARENTAL RESPONSIBILITY 08/22/2017




Inspection determined facility to be in compliance with rules.
Open Violations: NA

 
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
The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by there was no documentation of an incident that documented the date, time, and circumstances surrounding a bite on the child's stomach..
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 11 states: In case of an accident or injury to a child, the provider shall notify a parent immediately. If a child requires emergency medical care, a parent's prior written instructions shall be followed. A form shall be completed indicating the circumstances and the date and time of the injury. The form shall be signed by the caregiver and his/her supervisor. A copy of the form shall be given to the parent the day of the accident or injury and necessary explanations shall be given. The form shall be filed in the child's record.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

Correction Verification
Submit Documentation

Compliance Date
5/11/2017
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
Violation
 Provider Comments
Violation
The facility was not clean, free of unsanitary conditions and free of pests as evidenced by sanitation inspections from March 30, 2017 and April 6, 2017 stating that there were mouse droppings in the kitchen area.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 1 states: The premises of facilities shall be clean and free of unsanitary conditions and observable insects, spiders and rodents.
Correction Required
The facility shall be clean, sanitary and pest free.

Correction Verification
Submit Documentation

Compliance Date
5/30/2017
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Compliance
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.
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