DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

UNLEASHING POTENTIAL

002390756

(314) 771-3533

3709 NEBRASKA AVE
ST LOUIS
MO  63118

UNLEASHING POTENTIAL

1000 N VANDEVENTER AVE 2ND FL
ST LOUIS
MO  63113-3435

THOMAS, ARLEEN SHEREE

ghampton@upstl.org

Incorporated

NANCY SMITH

5 YEARS - 12 YEARS

90

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

02/18/2020

3:31 PM

5:15 PM

UNANNOUNCED

COMPLIANCE MONITORING

2376305770


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/07/2013
DIRECTOR'S JOB RESPONSIBILITIES 03/26/2013
JOB RESPONSIBILITIES 03/26/2013
SAMPLE FORMS 02/07/2013
POLICIES 02/07/2013
LINES OF ADMINISTRATIVE AUTHORITY 12/13/2012
DIRECTOR'S QUALIFICATIONS 03/19/2013
DISCIPLINE POLICIES 03/26/2013
DAILY SCHEDULE 03/19/2013
CHILD CARE PRACTICES 02/07/2013
STAFF SHEET 02/05/2019
REGISTERING FICTITIOUS NAMES 01/04/2017
CERTIFICATE OF GOOD STANDING 01/04/2017
EQUIPMENT LIST 02/05/2019
APPLICATION 02/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/27/2017




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 3
Total Children 31
StaffChildClass AgeNote
3 31 SCHOOL AGE Vickie As'Siyeed, Arleen Thomas and Cynthia Khoutek

 
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
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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Vickie As'Syeed needs 9 hours for 2019.
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
Violation
 Provider Comments
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by 1 child did not have a school age report.
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

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
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