DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

STONEBROOKE KIDZ ACADEMY

002546954

(573) 774-3522

500 GW LANE STREET
WAYNESVILLE
MO  65583

STONEBROOKE CHURCH, INC.

20980 ROWDEN LN
WAYNESVILLE
MO  65583-2702

ROWDEN, JEANIE

stonebrookekidzacademy@gmail.com

Incorporated

SHELBY N KOETTING

BIRTH - 12 YEARS

171

LICENSE EXEMPT PROGRAM

60 CHILDREN IN THE INFANT/TODDLER UNIT; 42 CHILDREN UNDER 12 MONTHS
 
Inspection Information

08/05/2020

11:00 AM

4:04 PM

ANNOUNCED

ANNUAL

2383940744


DocumentDocument-Date
SANITATION INSPECTION 09/30/2019
FIRE/SAFETY INSPECTION 07/28/2020
NOTICE OF PARENTAL RESPONSIBILITY 10/11/2019




Inspection determined facility to be in compliance with rules.
Open Violations: 2
Attendance at Time of Inspection
Total Staff 18
Total Children 121
StaffChildClass AgeNote
1 5 INFANTS AND TODDLERS Karen Nees with 5 infants under 12 months (ratio for this age group is 1 staff to 6 infants).
2 10 INFANTS AND TODDLERS Sharon Beauchamp and Kaitlyn Mtichell with 7 infants under 12 months and 3 children age 1 (ratio for this age group is 1 staff to 6 infants and toddlers).
2 10 INFANTS AND TODDLERS Nicole Cooper and Savannah Cone with 10 children age 1 (ratio for this age group is 1 staff to 6 toddlers).
3 0 NO CHILDREN IN ATTENDANCE Jeanie Rowden, Mackenzie Atterberry, and Sandy Steele (volunteer) in office with 0 children.
1 7 PRESCHOOL Donna Cottrell with 6 children age 3 and 1 child age 4 (ratio for this age group is 1 staff to 10 children).
2 16 PRESCHOOL Kayla Saulpaugh and Netanya Dodsworth with 16 children age 4 (ratio for this age group is 1 staff to 10 children).
2 13 PRESCHOOL Katie Shreve and Samantha McKown with 12 children age 3 and 1 child age 4 (ratio for this age group is 1 staff to 10 children).
2 40 SCHOOL AGE Kennedy Hurd and Alex Bagnell with 40 school-age children (ratio for this age group is 1 staff to 20 children).
1 8 TWO YEAR OLDS Gabriela Vazquez with 8 children age 2 (ratio for this age group is 1 staff to 10 children).
2 12 TWO YEAR OLDS Angelica Peavler and Kaitlyn See with 12 children age 2 (ratio for this age group is 1 staff to 10 children).

 
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
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 1 child's immunizations were not up to date with current immunizations for their age.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports, including TB testing, were not on file for Kaitlyn See as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
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
Children were not restricted to approved space as evidenced by access to a mechanical room, including a hot water heater, from the school age room through an unlocked closet door.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
Violation
Hazardous items as follows were accessible to children: spray sunscreen. The item(s) was/were located on a low shelf accessible to children in the Koala room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
Violation
The walls located in the school age room was/were not in good condition as evidenced by peeling paint on a dark gray beam sticking out of wall near mechanical room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The premises were not safe and suitable as evidenced by surge protector with open outlets accessible to children. Outlet covers should be used to cover these open outlets to prevent injury.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
Violation
The facility failed to meet requirements for 1 children, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
Violation
Hazardous items as follows were accessible to children: a variety of sunscreen and bleach spray. The item(s) was/were located on a low shelf accessible to children in the school-age room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
Violation
Hazardous items as follows were accessible to children: spray sunscreen. The item(s) was/were located on a low shelf accessible to children in the Monkey room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
Violation
Hazardous items as follows were accessible to children: spray adhesive, Tacky glue, Gorilla glue, and hand sanitizer. The item(s) was/were located on a low shelf accessible to children in the Elephant room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 6 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
8/5/2020
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 210.115 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