DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

UNLEASHING POTENTIAL

002390710

(314) 762-9818

4300 MORGANFORD RD
ST LOUIS
MO  63116

UNLEASHING POTENTIAL

1000 N VANDEVENTER AVE 2ND FL
ST LOUIS
MO  63113-3435

NELSON, NIESHA MONIQUE

nnelson@upstl.org

Incorporated

KATHERINE D SIMS

5 YEARS - 12 YEARS

60

SCHOOL AGE

 
Inspection Information

12/20/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2347096940


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 08/02/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/19/2018
LINES OF ADMINISTRATIVE AUTHORITY 12/13/2012
DIRECTOR'S QUALIFICATIONS 03/28/2013
SAMPLE WEEKLY MENU 02/05/2013
SAMPLE FORMS 02/05/2013
POLICIES 02/05/2013
DISCIPLINE POLICIES 02/05/2013
DAILY SCHEDULE 02/05/2013
CHILD CARE PRACTICES 02/05/2013
APPLICATION 11/05/2018
EQUIPMENT LIST 11/19/2018
STAFF SHEET 11/05/2018
CERTIFICATE OF GOOD STANDING 11/19/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
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 30-62.090 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
Medical examination report form did not contain all required information as evidenced by Lana Sikes medical exam is not fully completed.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/20/2018
19 CSR 30-62.132 Admission Policies and Procedures
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
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance