DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

STEPPING STONES ACADEMY

000327980

(636) 343-0340

899 GRAVOIS RD
FENTON
MO  63026

SOLID ROCK UNITED PENTECOSTAL CHURCH



 

BOWMAN, TRACEY SPRIGGS


MICHELLERBORKOWSKI@SBCGLOBAL.NET



LEATRICE L DIXON

6 WEEKS - 5 YEARS

98

LICENSE EXEMPT PROGRAM

 
Inspection Information

12/07/2018

9:45 AM

12:09 PM

ANNOUNCED

ANNUAL

2346086330


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 12/07/2018
FIRE/SAFETY INSPECTION 09/25/2018
SANITATION INSPECTION 11/13/2018




Inspection determined facility to be in compliance with rules.
Open Violations: 13
Attendance at Time of Inspection
Total Staff 8
Total Children 52
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Diana Schmidt and Yolanda Sprigg with children ages 8 weeks to 13 months (Ratio on NPR 1:4)
1 8 INFANTS AND TODDLERS Geriana Jackson with children age 1 year (Ratiio on NPR 1:8)
1 0 NO CHILDREN IN ATTENDANCE Director Tracy Bowman with no children
1 8 PRESCHOOL Danielle Boggs with children ages 2 to 3 years (Ratio on NPR 1:8 due to five 2 year olds in care))
1 10 PRESCHOOL Katie Piskorowki with children ages 3 to 4 years (Ratio on NPR 1:12)
1 10 PRESCHOOL Jennifer Watts with children ages 4 to 5 years (Ratio on NPR 1:12)
1 8 TWO YEAR OLDS Maleni Delabra with children age 2 years (Ratio on NPR 1:8)

 
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 handwashing were not met as evidenced by Maleni Delabra did not wash her hands immediately after diaper changing. Additionally, she did not wash the child's hands before she let him back down into the classroom.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (B) states: Caregivers shall use proper hand washing techniques with soap and warm, running water after toileting, after assisting a child with toileting, after diapering a child, and at other times as needed. Good hygiene practices shall be followed during food preparation. These practices include, but are not limited to, washing hands properly after smoking, eating, drinking, using the restroom, after touching raw food products and before preparing and serving food. Hands shall be dried with single-service towels. Caregivers shall teach and see that children wash their hands at appropriate times: before eating, after toileting and as needed when hands are soiled.
Correction Required
Staff/children shall wash hands as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Danielle Boggs and Tracey Bowman have incomplete medical exams.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) 2 states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 24 months.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) 3 states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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

Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that Child 1 is missing DTAP.
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

Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
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
12/7/2018
19 CSR 30-60.090 Sanitation Requirements
Violation
 Provider Comments
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was not working.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (B) states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Submit Documentation

Compliance Date

Violation
Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (C) states: Paper towels or a hot-air dryer that is installed and maintained properly, soap and toilet paper shall be provided and accessible so the children can reach them without assistance.
Correction Required
Soap, paper towels or air dryer, and toilet paper shall be accessible.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet the requirements for diapering surfaces. The diapering surface was not cleaned and sanitized after each use.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (C) states: The diapering surface, after each use, shall be cleaned and sanitized with a sanitizer approved by the department.
Correction Required
The facility shall provide diapering surfaces as required.

Correction Verification
Corrected on Site

Compliance Date
12/7/2018
Violation
Separation requirements of diapering/hand wash areas from food service were not met as evidenced by diapering was not separate from the food service area.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (F) states: The diapering and hand washing areas shall be separate from food service areas and food-related materials.
Correction Required
Caregivers shall keep food items/supplies separate from diapering items.

Correction Verification
Submit Documentation

Compliance Date

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 there is no door to the laundry area from the bathroom area. Children have access to the laundry area which is not approved space..
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
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: bleach, Lysol spray, Clorox wipes and plastic bags. The item(s) was/were located an unlocked/unlatched cabinet in the preschool 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
12/7/2018
Violation
The ceilings located the preschool bathroom was/were not in good condition as evidenced by there is a tile that has a large water stain. The director states there is a water leak in the roof which is being addressed by the Church.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located currently unused 1 year old room was/were not in good condition as evidenced by there is an area in which the laminate that cover the walls is chipped and sharp.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

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 1 (Child 3) 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 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
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