DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ST LOUIS CHILDREN'S HOSPITAL

000168492

(314) 454-4700

321 S NEWSTEAD
ST LOUIS
MO  63110

ST LOUIS CHILDREN'S HOSPITAL



 

ZITKO, MARGARET A

renee.williams@bjc.org

Incorporated

MICHELLE WILLIAMS

6 WEEKS - 10 YEARS

235

GROUP HOME AND CENTER

51 CHILDREN UNDER 12 MONTHS; 80 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/25/2019

8:57 AM

11:44 AM

UNANNOUNCED

COMPLIANCE MONITORING

2367838206


DocumentDocument-Date
ARTICLES OF INCORPORATION 02/27/2015
DAILY SCHEDULE 05/22/1995
DIAGRAM/INDOOR 05/22/1995
DIAGRAM/OUTDOOR 05/22/1995
DISCIPLINE POLICIES 05/22/1995
JOB RESPONSIBILITIES 05/22/1995
SAMPLE FORMS 05/22/1995
SAMPLE WEEKLY MENU 05/22/1995
CHILD CARE PRACTICES 05/22/1995
POLICIES 05/22/1995
APPLICATION 01/09/2019
EQUIPMENT LIST 03/15/2019
STAFF SHEET 03/15/2019
SANITATION INSPECTION 01/18/2019
FIRE/SAFETY INSPECTION 02/25/2019
CERTIFICATE OF GOOD STANDING 03/15/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 28
Total Children 116
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Linda Harris, Tina Pratt (6m-8m)
1 4 INFANTS AND TODDLERS Maria Johnson (Ages 16m-17m)
2 4 INFANTS AND TODDLERS Abby Barron, Dominque Hunter (12m-18m)
1 4 INFANTS AND TODDLERS Rosie Hall (6m-8m)
2 8 INFANTS AND TODDLERS Devon Robinson, Veronique Okelly'Syms (4m-18m)
1 4 INFANTS AND TODDLERS Dana Guthrie (12m-22m)
1 4 INFANTS AND TODDLERS Freddi Ingram (Ages 3m-8m)
2 5 INFANTS AND TODDLERS Renita Joseph, Chelsea Demease (5 One Year Olds)
2 7 INFANTS AND TODDLERS Pam Wilson, Brooke Clark (7 One Year Olds)
2 7 INFANTS AND TODDLERS Alexis Elgin, Angie Muniz ( 7 One Year Olds)
3 0 NO CHILDREN IN ATTENDANCE Renee Williams (Infant/Toddler Specialist), Katie Mabry (Administrative Assistant) Carol Hill (Preschool Specialist)
2 14 PRESCHOOL Chris McNeary, Natasha Towers (Ages 3-4)
1 8 PRESCHOOL Melissa Engleman (8 Three Year Olds)
1 9 PRESCHOOL Sue Healey (Ages 4-5)
1 7 TWO YEAR OLDS Patty Baker (7 Two Year Olds)
2 14 TWO YEAR OLDS Karen Lombardo, Minerva McMath (14 Two Year Olds)
2 11 TWO YEAR OLDS Maria Krajczar, Calgene Leopold (11 Two Year Olds)

 
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
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Aveeno Lotion. The item(s) was/were located in the penguins room.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/25/2019
Violation
The premises were not safe and suitable as evidenced by multiple classrooms having stereos with hanging cords, which could become strangulation hazard for children.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
10/25/2019
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Art work/teaching materials, including a canopy, plastic raindrops, and paintings, was observed hanging from the ceiling in multiple classrooms.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (D) states: Art work and teaching materials attached directly to the walls shall not exceed thirty percent (30%) of the wall area. No art work or teaching materials shall be hung from the ceilings or in the doorways.
Correction Required
Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

Correction Verification
Corrected on Site

Compliance Date
10/25/2019
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Alexis Elgin, Pamela Arnold.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Beth Bear needs 4 more clock hours for 2018.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

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 1 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
Corrected on Site

Compliance Date
10/25/2019
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
Violation
 Provider Comments
Violation
2 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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance