DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

PROVIDENT, INC.

002657576

(314) 653-8170

8420 SUNBURY AVE
JENNINGS
MO  63136-1337

PROVIDENT, INC.



 

JACKSON, SHAUNA LOUISE

sjackson@providentstl.org

Incorporated

KATHERINE D SIMS

5 YEARS - 12 YEARS

60

SCHOOL AGE

 
Inspection Information

09/18/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2364959093


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 05/04/2017
SAMPLE FORMS 06/20/2017
DIRECTOR'S JOB RESPONSIBILITIES 06/20/2017
DIRECTOR'S QUALIFICATIONS 06/20/2017
DAILY SCHEDULE 06/20/2017
JOB RESPONSIBILITIES 06/20/2017
DISCIPLINE POLICIES 06/20/2017
POLICIES 06/20/2017
SAMPLE WEEKLY MENU 06/20/2017
CHILD CARE PRACTICES 06/20/2017
CERTIFICATE OF INCORPORATION 05/04/2017
ARTICLES OF INCORPORATION 05/04/2017
APPLICATION 05/09/2019
EQUIPMENT LIST 05/10/2019
STAFF SHEET 05/10/2019
CERTIFICATE OF GOOD STANDING 05/10/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/10/2019




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: Esmerlda Baker, Ashley Dew, Donisha Dunn, and Dalberta Johnson( all waiting for results from SCCR).
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
9/18/2019
Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Kevin Drollinger and Shauna Jackson (waiting for results from SCCR).
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
9/18/2019
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 Donisha Dunn's medical exam is not fully complete.
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
5/13/2019
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by Child 3 and Child 4 need school age health report completed.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
6/21/2019
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include work schedule 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
5/23/2019
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 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance