DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

FAMILYFORWARD

002651170

(314) 534-9350

3309 S KINGSHIGHWAY BLVD
ST LOUIS
MO  63139-1101

THE CHILDREN'S HOME SOCIETY OF MISSOURI



 

BLEVENS, JENNIFER MARIE

jennifer.blevens@familyforwardmo.org

Incorporated

MICHELLE (SHELLEY) TRUESDALE

36 MONTHS - 5 YEARS

19

GROUP HOME AND CENTER

 
Inspection Information

11/20/2018

11:25 AM

12:18 PM

UNANNOUNCED

COMPLIANCE MONITORING

2344496327


DocumentDocument-Date
LOCAL ZONING APPROVAL 06/15/2017
DIRECTOR'S QUALIFICATIONS 06/16/2017
DIAGRAM/OUTDOOR 07/21/2017
DIAGRAM/INDOOR 07/21/2017
SAMPLE FORMS 06/30/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/30/2017
JOB RESPONSIBILITIES 06/30/2017
DAILY SCHEDULE 06/30/2017
SAMPLE WEEKLY MENU 06/29/2017
POLICIES 06/30/2017
DISCIPLINE POLICIES 06/29/2017
CHILD CARE PRACTICES 06/30/2017
LOCAL BUILDING APPROVAL 06/15/2017
ARTICLES OF INCORPORATION 03/20/2017
REGISTERING FICTITIOUS NAMES 03/31/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 07/07/2017
APPLICATION 04/21/2017
FIRE/SAFETY INSPECTION 04/17/2018
LINES OF ADMINISTRATIVE AUTHORITY 03/28/2017
CERTIFICATE OF GOOD STANDING 03/28/2017
STAFF SHEET 03/20/2017
EQUIPMENT LIST 03/20/2017
SANITATION INSPECTION 03/07/2018




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 4
Total Children 9
StaffChildClass AgeNote
1 1 PRESCHOOL Staff: Rachel Pratt
1 5 PRESCHOOL Staff: Breanna Douglas
2 3 PRESCHOOL Staff: Tahirah Allar & Nicole Marsh

 
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
Violation
 Provider Comments
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by training documents were not available for review. The staff listed need the following documentation: All staff require documentation of 2017 clock hours.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (B) states: All training shall be documented with the dates, the number of hours of training completed, the subject, and the name of the individual(s) who conducted the training. This information shall be on file at the facility and available for review.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date
5/18/2018
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
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
Violation
 Provider Comments
Violation
Records were not available for inspection by the department upon request as evidenced by staff background screening and medical clearance records were locked in the human resources office and unavailable for review.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (16) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

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 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance