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

35 MONTHS - 5 YEARS

19

GROUP HOME AND CENTER

 
Inspection Information

09/12/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2357029312


DocumentDocument-Date
APPLICATION 05/07/2019
LINES OF ADMINISTRATIVE AUTHORITY 03/28/2017
CERTIFICATE OF GOOD STANDING 03/28/2017
STAFF SHEET 03/15/2019
EQUIPMENT LIST 03/15/2019
FIRE/SAFETY INSPECTION 04/22/2019
SANITATION INSPECTION 03/14/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 07/07/2017
REGISTERING FICTITIOUS NAMES 03/31/2017
ARTICLES OF INCORPORATION 03/20/2017
LOCAL BUILDING APPROVAL 06/27/2018
CHILD CARE PRACTICES 06/30/2017
DISCIPLINE POLICIES 06/29/2017
POLICIES 06/30/2017
SAMPLE WEEKLY MENU 06/29/2017
DAILY SCHEDULE 06/30/2017
JOB RESPONSIBILITIES 06/30/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/30/2017
SAMPLE FORMS 06/30/2017
DIAGRAM/INDOOR 07/21/2017
DIAGRAM/OUTDOOR 07/21/2017
DIRECTOR'S QUALIFICATIONS 06/16/2017
LOCAL ZONING APPROVAL 03/11/2019




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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Jennifer Blevens & Matt Harvey.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
7/26/2019
Violation
The provider did not meet requirements for a criminal background check. Results were missing for: all staff with the exception of T. Allar, requests have been submitted but results have not yet been received.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
7/26/2019
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
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/20/2019
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
19 CSR 30-63.040 Background Screening Findings
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