DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KAREN'S KIDS DAYCARE

000640720

(314) 776-5000

3706 GRAVOIS AVE
ST LOUIS
MO  63116-4652

SINGLETON, KAREN J



 


singleto.karen@att.net


DENISE ELAYNE KOCH

6 WEEKS - 12 YEARS

50

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/29/2020

11:15 AM

12:35 PM

ANNOUNCED

COMPLIANCE MONITORING

2383815693


DocumentDocument-Date
JOB RESPONSIBILITIES 04/01/2013
DIRECTOR'S QUALIFICATIONS 04/01/2013
LINES OF ADMINISTRATIVE AUTHORITY 01/18/2013
DAILY SCHEDULE 04/01/2013
DISCIPLINE POLICIES 04/01/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 10/06/2015
REGISTERING FICTITIOUS NAMES 10/06/2015
SANITATION INSPECTION 03/03/2020
EQUIPMENT LIST 03/03/2020
APPLICATION 03/03/2020
SAFE SLEEP POLICY 04/28/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/23/2016
POLICIES 04/30/2013
CHILD CARE PRACTICES 04/30/2013
OWNER/PROVIDER REFERENCES 04/08/2013
SAMPLE WEEKLY MENU 01/18/2013
DIAGRAM/INDOOR 04/01/2013
DIAGRAM/OUTDOOR 04/01/2013
LOCAL ZONING APPROVAL 08/09/2017
FIRE/SAFETY INSPECTION 07/06/2020
STAFF SHEET 03/03/2020
LOCAL BUILDING APPROVAL 08/09/2017




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 21
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Evelyn Cunningham, Betty Johnson (On Break Off Site) )(Ages 9m-2)
1 0 NO CHILDREN IN ATTENDANCE Candie Barry
1 9 PRESCHOOL Esther Gayeyou (Ages 2-4, (2) Two Year Olds)
1 8 SCHOOL AGE Kimberly Price (All 5+)

 
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 30-62.087 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
Violation
 Provider Comments
Violation
The center director was not responsible for the daily planning, monitoring and managing of the facilities program as evidence by there is no approved director for the current location that has a capacity of 50 children.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 1. states: The group day care home provider or the individual designated as the center director shall be responsible for planning, monitoring, and managing the facility's daily program.
Correction Required
Group Day Care Home provider or center director shall be responsible for the daily planning, monitoring and managing of the facilities daily operations.

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
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 11/25/19.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Evelyn Cunningham.
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

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 a statement, certificate or record from a physician or other recognized health facility or personnel was not on file for 2 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
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 210.115. 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