DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KIDS ZONE

002105457

(573) 438-5437

402 N MISSOURI ST
POTOSI
MO  63664-1750

LIFE CHURCH OF POTOSI



 

KING, ANGELA RENEE


LIFEBUILTCHURCH@YAHOO.COM

Incorporated


LEATRICE L DIXON

24 MONTHS - 15 YEARS

60

LICENSE EXEMPT PROGRAM

 
Inspection Information

10/02/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2364345240


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/01/2019
SANITATION INSPECTION 08/30/2019
FIRE/SAFETY INSPECTION 06/20/2019




Inspection determined facility to be in compliance with rules.
Open Violations: NA

 
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
Violation
 Provider Comments
Violation
A caregiver has not reviewed the rules of this chapter as evidenced by Taylor Robinson has not reviewed the rules of the chapter.
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.
Correction Required
All caregivers shall review the rules as required.

Correction Verification
Submit Documentation

Compliance Date
10/2/2019
19 CSR 30-60.060 Health Requirements
Compliance
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 not posted.
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
Submit Documentation

Compliance Date
10/2/2019
19 CSR 30-60.090 Sanitation Requirements
Compliance
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
The ceilings located in the boys bathroom and the "big kid" bathroom was/were not in good condition as evidenced by there are large brown stains in the tiles. Provider says the ceiling leaks during rain storms. .
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
9/30/2019
Violation
The walls located the common area/eating area was/were not in good condition as evidenced by there are areas of chipped paint (wall leading to bathrooms, under the service counter in the kitchen and the kitchen door frames).
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
9/30/2019
Violation
The walls located the boys bathroom was/were not in good condition as evidenced by the paneling is pulled off the wall and the chair rail has cracked sharp areas with exposed nails.
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
9/30/2019
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of grass and weeds are growing up through the pea gravel.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
10/1/2019
Violation
The equipment, a caterpillar climber, a triangular Little Tykes climber, and other climbing equipment, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there is no resilient surface under some equipment and insufficient resilent surface under climbing equipment in general.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification
Submit Documentation

Compliance Date
10/1/2019
Violation
Requirements for indoor play equipment and materials were not as evidenced by toys/materials were not in good condition as evidenced by floor mat in the preschool room is frayed.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date
10/1/2019
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 5 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
9/30/2019
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 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
9/30/2019
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
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