DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

COVENANT ACADEMY CENTER L.L.C.

002738818

(314) 427-1119

8364 MIDLAND BLVD
ST LOUIS
MO  63114-5925

COVENANT ACADEMY CENTER L.L.C.



 

VICTORIAN, LENORE SUZETTE

CAC8364.midland@att.net


KATHERINE D SIMS

BIRTH - 12 YEARS

22

GROUP HOME AND CENTER

6 CHILDREN UNDER 12 MONTHS; 9 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/31/2020

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2378761779


DocumentDocument-Date
SAFE SLEEP POLICY 12/10/2018
FIRE/SAFETY INSPECTION 12/19/2019
LOCAL BUILDING APPROVAL 12/19/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 12/10/2018
CERTIFICATE OF GOOD STANDING 10/03/2018
LLC ARTICLES OF ORGANIZATION 10/01/2018
EQUIPMENT LIST 10/01/2018
SAMPLE WEEKLY MENU 10/01/2018
SANITATION INSPECTION 12/02/2019
SAMPLE FORMS 10/01/2018
APPLICATION 01/23/2019
POLICIES 10/01/2018
DISCIPLINE POLICIES 10/01/2018
LOCAL ZONING APPROVAL 01/23/2019
DIAGRAM/INDOOR 01/23/2019
DIAGRAM/OUTDOOR 01/23/2019
CHILD CARE PRACTICES 10/01/2018
STAFF SHEET 01/23/2019
DIRECTOR'S QUALIFICATIONS 02/14/2019
JOB RESPONSIBILITIES 02/15/2019
LLC OPERATING AGREEMENT 02/13/2019
DAILY SCHEDULE 02/15/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/08/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  4:00PM   5:00PM   2/19/2019
  7:00AM   8:00AM   2/19/2019



Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
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 provider did not provide resilient material necessary for the protection of children as evidenced by there is not sufficient resilient material under the preschool slide.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

Correction Verification
Submit Documentation

Compliance Date
2/6/2020
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the outdoor ramp has multiple large areas of peeling paint.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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
3/31/2020
19 CSR 30-62.087 Fire Safety
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
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Sheltoria Braun.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
2/6/2020
Violation
Medical examination report form did not contain all required information as evidenced by Sheltoria Braun's medical exam in not fully complete.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/6/2020
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
Submit Documentation

Compliance Date
2/5/2020
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
A written record of fire and disaster drills was not maintained.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (8) states: The provider shall maintain a written record at the facility for fire and disaster drills.
Correction Required
Fire and disaster drills shall be recorded and kept on file.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
Violation
1 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
Violation
1 child(ren) records did not include child's birth date.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
Violation
1 child(ren) records did not include work schedule 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
1/28/2020
Violation
Daily attendance records were not maintained on file as evidenced by there was no staff/volunteer attendance record for the following staff: Sue Victorian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Staff/volunteer attendance records shall be maintained and retained as required.

Correction Verification
Submit Documentation

Compliance Date
2/6/2020
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 — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance