DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

ST PAUL LUTHERAN CHURCH PRESCHOOL

000290957

(636) 583-2209

208 W SPRINGFIELD
UNION
MO  63084

ST PAULS LUTHERAN CHURCH



 

RANDOLPH, PENNY

SECRETARY@INUNIONWITHCHRIST.ORG


LEATRICE L DIXON

36 MONTHS - 5 YEARS

12

LICENSE EXEMPT PROGRAM

 
Inspection Information

03/06/2018

10:50 AM

12:47 PM

ANNOUNCED

ANNUAL

2325989870


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/08/2017
FIRE/SAFETY INSPECTION 01/31/2018
SANITATION INSPECTION 01/08/2018




Inspection determined facility to be in compliance with rules.
Open Violations: 1
Attendance at Time of Inspection
Total Staff 2
Total Children 21
StaffChildClass AgeNote
1 9 PRESCHOOL Penny Randolph with children ages 3-5 years (AM session departed at 11:00 AM)
1 12 PRESCHOOL Penny Randolph with children ages 3 to 5 years (PM session arrived at 12:00 PM)

 
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 medical examination was not on file within 30 days of an individual beginning to work with children.
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

19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
19 CSR 30-60.080 Fire Safety Requirements
Violation
 Provider Comments
Violation
The facility's evacuation/emergency plan is posted but does not include instructions for infants/nonambulatory children.
Licensing Rule Reference
19 CSR 30-60.080 Fire Safety Requirements 5 (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.
Correction Required
Evacuation/emergency plan must be posted/complete as required.

Correction Verification
Corrected on Site

Compliance Date
3/6/2018
19 CSR 30-60.090 Sanitation Requirements
Compliance
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Emergency numbers for the police, fire department, poison control, and ambulance were not posted near the telephone.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone.
Correction Required
Emergency numbers shall be posted near the telephone.

Correction Verification
Corrected on Site

Compliance Date
3/6/2018
19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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 two child files did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
3/6/2018
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 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
Corrected on Site

Compliance Date
3/6/2018
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 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
Corrected on Site

Compliance Date
3/6/2018
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