DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KINGSWOOD PROGRAMS

000243972

(417) 881-6363

2401 S LONE PINE
SPRINGFIELD
MO  65804

KINGSWAY UNITED METHODIST



 

RIDDLE, ALLISON

kingswoodprograms@kwumc.com


LEAH WHITE

BIRTH - 6 YEARS

133

LICENSE EXEMPT PROGRAM

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/12/2018

9:00 AM

12:21 PM

ANNOUNCED

ANNUAL

2322214309


DocumentDocument-Date
FIRE/SAFETY INSPECTION 09/11/2017
NOTICE OF PARENTAL RESPONSIBILITY 01/12/2018
SANITATION INSPECTION 01/04/2017




Inspection determined facility to be in compliance with rules.
Open Violations: 8
Attendance at Time of Inspection
Total Staff 19
Total Children 69
StaffChildClass AgeNote
3 6 INFANTS AND TODDLERS
4 2 INFANTS AND TODDLERS
2 13 PRESCHOOL
2 10 PRESCHOOL
2 9 PRESCHOOL
2 9 PRESCHOOL
2 13 PRESCHOOL
2 7 TWO YEAR OLDS

 
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 requirements for medications to be in the original container with proper labeling were not met as evidenced by a prescription medication was not labeled with instructions for administration including times and dosage amounts.
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

Violation
The requirements for medications to be in the original container with proper labeling were not met as evidenced by a medication was not in its original container - the medication was contained in Epi-pen Jr. was expired and did not contain the second dose.
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

Violation
The requirements for medications to be in the original container with proper labeling were not met as evidenced by a prescription medication was not labeled with the physician'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

Violation
The requirements for medications to be in the original container with proper labeling were not met as evidenced by a prescription medication was not labeled 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

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 there is dirt and clean up due to a flood and the program does not have an approved sanitation.
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

19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by a crib in the infant toddler unit has a screw that is stripped out.
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

Violation
The premises were not safe and suitable as evidenced by refrigerators in all classrooms need to be cleaned and defrosted.
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

Violation
The premises were not safe and suitable as evidenced by a feeding table in the infant toddler room didn't have straps per manufacturer's specifications..
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

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
A copy of the notice of parental responsiblity was not filed annually during the month of August to the department of health and senior services.
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. 3 states: A copy of notice of parental responsibility, signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.
Correction Required
A copy of notice of parental responsibility shall be signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.

Correction Verification
Corrected on Site

Compliance Date
1/12/2018
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