DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHESTERFIELD ACADEMY

002288644

(636) 532-1010

17661 WILDHORSE CREEK RD
CHESTERFIELD
MO  63005

CHESTERFIELD ACADEMY CHRISTIAN SCHOOL, INC.



 

AXLEY, TRACIE MARIE

director@chesterfieldacademy.org

Incorporated

ALYSSA MARIE RILEY

6 WEEKS - 12 YEARS

164

GROUP HOME AND CENTER

16 CHILDREN UNDER 12 MONTHS; 32 CHILDREN UNDER 24 MONTHS
 
Inspection Information

06/26/2019

8:20 AM

12:17 PM

ANNOUNCED

RENEWAL

2359143852


DocumentDocument-Date
JOB RESPONSIBILITIES 10/21/2002
DAILY SCHEDULE 05/05/2000
SAMPLE WEEKLY MENU 05/05/2000
SAMPLE FORMS 01/07/2009
SAFE SLEEP POLICY 02/23/2017
APPLICATION 06/12/2019
EQUIPMENT LIST 06/26/2019
FIRE/SAFETY INSPECTION 06/20/2019
SANITATION INSPECTION 06/17/2019
STAFF SHEET 06/26/2019
SAMPLE WEEKLY MENU 05/09/2011
SAMPLE FORMS 05/09/2011
REGISTERING FICTITIOUS NAMES 05/09/2011
POLICIES 05/09/2011
LOCAL ZONING APPROVAL 05/09/2011
LOCAL FIRE DEPARTMENT NOTIFICATION 05/09/2011
LOCAL BUILDING APPROVAL 05/09/2011
LINES OF ADMINISTRATIVE AUTHORITY 05/09/2011
JOB RESPONSIBILITIES 05/09/2011
DIRECTOR'S QUALIFICATIONS 06/13/2011
DISCIPLINE POLICIES 05/09/2011
DIAGRAM/OUTDOOR 05/09/2011
DIAGRAM/INDOOR 05/09/2011
DAILY SCHEDULE 05/09/2011
CHILD CARE PRACTICES 05/09/2011
CERTIFICATE OF GOOD STANDING 05/20/2013
ARTICLES OF INCORPORATION 05/09/2011




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 18
Total Children 80
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS 2 months-15 months with Ms. Reyna Bocanegra and Ms. Hannah Chowning in infant 1
2 7 MIXED 1-2 year olds with Ms. Alyssa Brockman and Ms. Symone Green
4 0 NO CHILDREN IN ATTENDANCE Ms. Winter Tripp, Ms. Shannon Gammons, Tracie Axley, and Ms. Linda Hill (cook)
1 7 PRESCHOOL 4-5 year olds with Ms. Erica Gray on a field trip- Ms. Winter Tripp drove
2 15 PRESCHOOL 3-4 year olds with Ms. Hannah Holderman and Ms. Kayla Leibner
2 15 PRESCHOOL 2-3 year olds with Ms. Jessica Coffey and Ms. Margaux Smith; 5 two year olds present in group
3 16 SCHOOL AGE 5-6 year olds with Ms. Catarina Sanders, Ms. Pamela wood, and Ms. Rachel Watson on a field trip- Ms. Winter Tripp drove
2 12 TWO YEAR OLDS with Ms. Anna James and Ms. Ashleigh Armstrong

 
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: Tracie Axley and Rodney Henry.
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

Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Shannon Gammons, Tina Dansberry, Linda Hill, Erica Gray, Winter Tripp, Pamela Wood, Reyna Bocanegra, Rachel Watson, Kaitlyn Magee, Laurel Beckham, Alyssa Brockman, Bridgette Edwards, Catarina Sanders, Hannah Chowning, Hannah Holderamn, Ashleigh Armstrong, Jessica Coffey, Symone Green, Margaux Smith, Anna James, and Haley Hudson.
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

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
Violation
 Provider Comments
Violation
Medical examination report was not on file for Symone Green 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 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Symone Green.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

Violation
The medical examination report on file was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another day care facility for subsequent employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a day care program.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (B) states: The examination report shall determine if a child's medical history and current state of health is satisfactory participation in a day care program.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
3 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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