DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

GRACEFUL BEGINNINGS II

002543804

(573) 248-1911

4112 HIGHWAY MM
HANNIBAL
MO  63401-6907

HANNIBAL FREE WILL BAPTIST CHURCH

4116 HIGHWAY MM
HANNIBAL
MO  63401-6907

SPURGEON, SARAH

gracefulbeginnings2011@gmail.com


BETHANY C DUCKWORTH

BIRTH - 12 YEARS

17

LICENSE EXEMPT PROGRAM

 
Inspection Information

09/04/2018

9:40 AM

10:43 AM

ANNOUNCED

ANNUAL

2338788330


DocumentDocument-Date
SANITATION INSPECTION 06/20/2018
NOTICE OF PARENTAL RESPONSIBILITY 08/28/2018
FIRE/SAFETY INSPECTION 07/11/2018




Inspection determined facility to be in compliance with rules.
Open Violations: 6
Attendance at Time of Inspection
Total Staff 2
Total Children 14
StaffChildClass AgeNote
1 7 PRESCHOOL Staff: Michelle NPR states ratio is 1:16
1 7 PRESCHOOL Staff: Maddie NPR states ratio is 1:16

 
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
Requirements for children's medical examination reports 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 2-13-2017.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 2 states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment 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
Compliance
19 CSR 30-60.090 Sanitation Requirements
Compliance
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by unlocked furnace room door.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
9/4/2018
Violation
Hazardous items as follows were accessible to children: bleach water and plug in air freshners. The item(s) was/were located in children's reach in bathroom and in wall plug ins. .
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
9/4/2018
Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 7 inches tall. The bottom of gated entrance had opening..
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Equipment in the outdoor play area, the Wooden climber steps, was not free of sharp, loose or pointed parts as evidenced by there were visible screws sticking out..
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment, a slides, wooden climber, and swings, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there was no ground covering under the play equipment. .
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by Once 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 One 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
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.
Compliance