DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TRINITY LUTHERAN CHURCH OF COLUMBIA MISSOURI INC

000171522

(573) 445-1014

2201 W ROLLINS RD
COLUMBIA
MO  65203

TRINITY LUTHERAN CHURCH OF COLUMBIA INC



 

KIEHNE, ANNETTE MARIE

TLCLC@TRINITY-LCMS.ORG

Incorporated

ANGELA EVELYN EASLEY

24 MONTHS - 12 YEARS

96

GROUP HOME AND CENTER

96 FULL DAY PRESCHOOL CHILDREN; 30-FULL DAY SCHOOL AGE CHILDREN
 
Inspection Information

07/19/2018

10:00 AM

11:39 AM

ANNOUNCED

RENEWAL

2337446741


DocumentDocument-Date
DAILY SCHEDULE 04/03/2017
EQUIPMENT LIST 07/19/2018
DIAGRAM/INDOOR 04/03/2017
SANITATION INSPECTION 06/08/2018
STAFF SHEET 07/19/2018
FIRE/SAFETY INSPECTION 06/07/2018
DISCIPLINE POLICIES 08/20/1982
LINES OF ADMINISTRATIVE AUTHORITY 07/09/1987
JOB RESPONSIBILITIES 01/02/2003
CERTIFICATE OF GOOD STANDING 06/26/2012
LLC ARTICLES OF ORGANIZATION 07/09/1987
CHILD CARE PRACTICES 07/09/1998
SAMPLE WEEKLY MENU 02/07/1989
POLICIES 08/20/1982
DIAGRAM/OUTDOOR 07/22/1998
LOCAL ZONING APPROVAL 12/10/1999
LOCAL BUILDING APPROVAL 12/10/1999
ARTICLES OF INCORPORATION 08/27/1980
APPLICATION 07/02/2018
DIRECTOR'S QUALIFICATIONS 07/20/2016




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 10
Total Children 60
StaffChildClass AgeNote
1 5 PRESCHOOL
1 9 PRESCHOOL
2 11 PRESCHOOL
1 8 PRESCHOOL
1 6 PRESCHOOL
1 7 SCHOOL AGE
2 8 TWO YEAR OLDS
1 6 TWO YEAR OLDS

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were (8/21/2017).
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance