DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

STONEBROOKE KIDZ ACADEMY

002546954

(573) 774-3522

500 GW LANE STREET
WAYNESVILLE
MO  65583

STONEBROOKE CHURCH, INC.

20980 ROWDEN LN
WAYNESVILLE
MO  65583-2702

ROWDEN, JEANIE

stonebrookekidzacademy@gmail.com

Incorporated

KAYLA TODARO

BIRTH - 12 YEARS

171

LICENSE EXEMPT PROGRAM

32 CHILDREN IN THE INFANT/TODDLER UNIT; 25 CHILDREN UNDER 12 MONTHS
 
Inspection Information

06/28/2018

10:00 AM

12:07 PM

ANNOUNCED

ANNUAL

2334566991


DocumentDocument-Date
FIRE/SAFETY INSPECTION 03/24/2017
NOTICE OF PARENTAL RESPONSIBILITY 08/24/2017
SANITATION INSPECTION 06/25/2018




Inspection determined facility to be in compliance with rules.
Open Violations: 5
Attendance at Time of Inspection
Total Staff 14
Total Children 68
StaffChildClass AgeNote
1 6 INFANTS AND TODDLERS Amanda Hess with 6 children under the age of 2.
2 7 INFANTS AND TODDLERS Amy Collins and Naudia Dyl with 7 children under the age of 1.
2 9 MIXED Samantha Pacos and Samantha Logan with 9 children ages 1 and 2.
3 0 NO CHILDREN IN ATTENDANCE Jeannie Rowden (director), Jessica Penera (assistant director), and Rachel Bennett (cook) present with no children.
1 10 PRESCHOOL Claryssa Hernandez with 10 children ages 4 and 5.
1 5 PRESCHOOL Clarisse Mondoux with 5 children age 3.
1 8 PRESCHOOL Ambure Stevens with 8 children age 3.
1 10 SCHOOL AGE Victoria Miller with 10 school age children.
1 7 SCHOOL AGE Yasmine Nelson with 7 children age 2.
1 6 TWO YEAR OLDS Tanisha Townsend with 6 children age 2.

 
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
Violation
 Provider Comments
Violation
There was no signed statement on file for Rachel Bennett as evidence that license rules had been read.
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements 1 (C) states: Prior to starting work, all caregivers shall read the rules of this chapter and sign a statement that they have read the rules. The statements shall be maintained on file at the facility.
Correction Required
Caregivers' signed statements shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 1 child mising 1 PCV vaccine.
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
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: mop with standing water. The item(s) was/were located 2 year old area.
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
6/28/2018
Violation
Hazardous items as follows were accessible to children: diaper cream. The item(s) was/were located unlocked low drawer in infant/toddle room.
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
6/28/2018
Violation
Hazardous items as follows were accessible to children: disinfecting wipes. The item(s) was/were located low unlocked cabinet in the school age room.
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
6/28/2018
Violation
Hazardous items as follows were accessible to children: spray bleach bottle. The item(s) was/were located on the counter where the children's hand washing sink is located.
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
6/28/2018
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 1 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

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, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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.
Violation
 Provider Comments
Violation
Requirements for fire/safety inspection were not met as evidenced by the inspection was not approved.
Licensing Rule Reference
RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification
Submit Documentation

Compliance Date