DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KAREN'S KIDS INCORPORATED

001419852

(636) 928-2234

3857 MC CLAY RD
ST PETERS
MO  63376

KAREN'S KIDS INCORPORATED



 

LESINSKI, KAREN ANN

KARENSKIDSINC@YAHOO.COM

Incorporated

JENNIFER M JACKSON

6 WEEKS - 6 YEARS

64

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/18/2020

8:10 AM

12:10 PM

UNANNOUNCED

COMPLIANCE MONITORING

2375880662


DocumentDocument-Date
SAMPLE WEEKLY MENU 11/01/1999
SAMPLE FORMS 11/01/1999
POLICIES 11/01/1999
LINES OF ADMINISTRATIVE AUTHORITY 11/01/1999
JOB RESPONSIBILITIES 11/01/1999
DISCIPLINE POLICIES 11/01/1999
DIRECTOR'S JOB RESPONSIBILITIES 11/01/1999
DAILY SCHEDULE 11/01/1999
CHILD CARE PRACTICES 11/01/1999
CERTIFICATE OF INCORPORATION 11/01/1999
ARTICLES OF INCORPORATION 11/01/1999
DIRECTOR'S QUALIFICATIONS 11/16/1999
DIAGRAM/OUTDOOR 11/10/1999
DIAGRAM/INDOOR 11/10/1999
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/28/2018
EQUIPMENT LIST 08/22/2019
FIRE/SAFETY INSPECTION 07/30/2019
SANITATION INSPECTION 06/19/2019
APPLICATION 07/01/2019
STAFF SHEET 07/01/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 4
Total Children 24
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Caregiver, Victoria Boekemier was present with 1 year olds.
1 3 INFANTS AND TODDLERS Caregiver, Anita Colter was present with two 7 months old and one 8 month old.
1 9 MIXED Caregiver, Robbie Rose-Poel was present with 3, 4 and 5 years old.
1 8 TWO YEAR OLDS Caregiver, Melanie DuFour was present with two years old.

 
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
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 1 outlet cover missing in two rooms. .
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
2/18/2020
Violation
Hazardous items as follows were accessible to children: 2 cans of Febreze and 2 bottles of hand sanitizer. . The item(s) was/were located in a unlocked cabinet in the two year old room and one bottle of hand sanitizer was on the ledge going down the stairs to the 2 year old room and one bottle of hand sanitizer was located on the changing table in the infant/toddler 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
2/18/2020
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility’s list of emergency numbers was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
2/18/2020
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
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The policy did not include expectations regarding how and when caregivers are to be trained on safe sleep.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 1. states: The policy shall list the licensee’s expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Required
The policy shall include expectations regarding how and when caregivers are to be trained on safe sleep.

Correction Verification
Corrected on Site

Compliance Date
2/18/2020
Violation
The policy did not include a requirement that the facility receive a written statement from the infant’s licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 3. states: A requirement that the facility shall receive a written statement from the infant’s licensed health care provider stating that the infant requires alternative sleep positions or special sleeping arrangements that differ from those set forth in 19 CSR 30-62.182(2)(C) prior to allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Required
The policy shall include a requirement that the facility receive a written statement from the infant's licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.

Correction Verification
Corrected on Site

Compliance Date
2/18/2020
Violation
The policy did not state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider’s safe sleep policy upon the child’s enrollment.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 5. states: Shall require giving the parent(s) or guardian(s) of each infant in care a copy of the provider’s safe sleep policy upon the child’s enrollment.
Correction Required
The policy shall state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider's safe sleep policy upon the child's enrollment.

Correction Verification
Corrected on Site

Compliance Date
2/18/2020
Violation
The policy did not prohibit smoking in the child care home during the hours children are in care.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 4. states: Shall prohibit smoking in the child care home during the hours children are in care.
Correction Required
The policy shall prohibit smoking in the child care home during the hours children are in care.

Correction Verification
Corrected on Site

Compliance Date
2/18/2020
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
Submit Documentation

Compliance Date

19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by 1 component was missing for breakfast. Breakfast was cheerios and milk.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.
Correction Required
Nourishing food shall be provided as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
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 — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance