DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

GRACEFUL BEGINNINGS DAYCARE

002259998

(573) 248-1911

4116 HIGHWAY MM
HANNIBAL
MO  63401

GRACE POINTE FWB CHURCH



 



gracefulbeginnings2011@gmail.com



CHRISTINA BRUCE

BIRTH - 12 YEARS

46

LICENSE EXEMPT PROGRAM

 
Inspection Information

02/03/2020

11:20 AM

12:32 PM

ANNOUNCED

ANNUAL

2375757155


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/13/2019
FIRE/SAFETY INSPECTION 12/19/2019
SANITATION INSPECTION 11/19/2019




Inspection determined facility to be in compliance with rules.
Open Violations: 3
Attendance at Time of Inspection
Total Staff 6
Total Children 27
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Staff: Pamela Steinmeyer and Victoria Butler. Youngest child 4 months and oldest child 7 months. NPR states 1 staff to every 10 children under 2 years of age.
1 4 INFANTS AND TODDLERS Staff: Delaney Hamilton Youngest child 7 months oldest child 12 months. NPR states 1 staff member to 10 children under 2 years.
3 18 MIXED Staff: Sarah Spurgeon, Hannah Powell, and Sandra Barnett. Age range 12 months through 3 years. ( 7 children age 1 year, 11 children ages 2 years and 3 years) NPR states 1 staff to 10 chiildren under 2 years. NPR states 1 staff to every 18 children for children ages 2 years to 4 years.

 
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
TB reports on file were older than 24 months for Sarah Spurgeon and Pamela Steinmeyer.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
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
Compliance
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 at the bottom of the gate where you enter the play yard. The gate is slanted and uneven.
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 space for infants and toddlers is not separated by floor-to-ceiling walls.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 2 (F) 2 states: A facility with a capacity of more than twenty (20) children or more than four (4) infants and toddlers shall have infant and toddler space separate from the older children. The space shall be separated by floor to- ceiling walls with separate play, sleeping and bathroom space.
Correction Required
Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls.

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
Compliance
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