DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CALVARY BAPTIST CHURCH CHILD CARE CENTER

000354094

(573) 221-1404

4605 W ELY RD
HANNIBAL
MO  63401

CALVARY BAPTIST CHURCH



 

MCCLOUD, JILL MARIE

jmccloud@cbchannibal.net


BETHANY C DUCKWORTH

6 WEEKS - 13 YEARS

70

LICENSE EXEMPT PROGRAM

 
Inspection Information

02/03/2020

9:25 AM

11:15 AM

ANNOUNCED

ANNUAL

2374918372


DocumentDocument-Date
SANITATION INSPECTION 11/04/2019
FIRE/SAFETY INSPECTION 12/19/2019
NOTICE OF PARENTAL RESPONSIBILITY 06/11/2019




Inspection determined facility to be in compliance with rules.
Open Violations: 7
Attendance at Time of Inspection
Total Staff 9
Total Children 42
StaffChildClass AgeNote
2 9 INFANTS AND TODDLERS Staff: Amy Fazio and Amber Waters. All children in room 1 years old. NPR states 1 staff to 6 children. under 2 years of age.
1 4 INFANTS AND TODDLERS Staff: Trish Shoemate Four infants. Age range 8 weeks to 6 months. NPR states 1 staff to 6 children under 2 years of age.
1 4 INFANTS AND TODDLERS Staff: Trisha Zook Two children 7 months Two children 10 months. NPR states 1 staff to 6 children under 2 years old.
1 3 MIXED Staff: Carrie Booth Children's ages 2 years and 3 years. NPR states 1 staff to 12 children.
2 15 PRESCHOOL Staff: Lauren Mulheron and Jatiai Rose Age range 3 years to 5 years. NPR sates 1 staff to 12 children for 3 and 4 year old children. NPR states 1 staff to 16 children who are 5 years old.
1 2 SCHOOL AGE Staff: Erin Morrison NPR states 1 staff to 16 children 5 years and older.
1 5 TWO YEAR OLDS Staff: Lisa Evans NPR states 1 staff to 12 children

 
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
Compliance
19 CSR 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports, including TB testing, were not on file for Kari Goodman 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 30-60.060 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 2 children need updated immunization records.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports, including TB testing, were not on file for Kari Goodman as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-60.070 Responsibilities of Caregivers
Violation
 Provider Comments
Violation
The facility did not meet the requirements for diapering surfaces. There was an insufficient number of diapering surfaces as evidenced by one diapering surfaces(s) for nine toddlers (age 1 years) I/T.
Licensing Rule Reference
19 CSR 30-60.070 Responsibilities of Caregivers 1 (F) 2 states: One (1) diapering surface shall be provided for every group of eight (8) infants/toddlers and one (1) diapering surface shall be provided for every group of sixteen (16) two (2)-year-old children in the infant/toddler unit.
Correction Required
The facility shall provide diapering surfaces as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-60.080 Fire Safety Requirements
Compliance
19 CSR 30-60.090 Sanitation Requirements
Compliance
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 5 inches (below gate on the infant/toddler play ground).
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of black paper was sticking through the pea gravel which is a tripping hazard (on the play yard for preschool and school age children).
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

Violation
The equipment, a infant/toddler slides (2), that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by no material observed under the slides.
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

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 one child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
2/3/2020
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