DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GRACE LUTHERAN CHURCH, HOLTS SUMMIT MO

002351753

(573) 896-8824

618 HALIFAX RD
HOLTS SUMMIT
MO  65043

GRACE LUTHERAN CHURCH, HOLTS SUMMIT MO



 

DIENER, MICHAEL J

revmjdiener@gmail.com

Incorporated

JIM PARSLEY

24 MONTHS - 10 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

08/10/2020

10:00 AM

11:58 AM

ANNOUNCED

SUPPLEMENTAL

2384031155


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 09/12/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/24/2012
JOB RESPONSIBILITIES 08/24/2012
CERTIFICATE OF GOOD STANDING 05/07/2011
ARTICLES OF INCORPORATION 08/24/2012
CHILD CARE PRACTICES 08/24/2012
DAILY SCHEDULE 08/24/2012
POLICIES 08/24/2012
DIAGRAM/OUTDOOR 07/15/2013
DIAGRAM/INDOOR 07/15/2013
SAMPLE WEEKLY MENU 01/13/2014
SANITATION INSPECTION 05/28/2020
FIRE/SAFETY INSPECTION 06/03/2020
STAFF SHEET 08/05/2020
EQUIPMENT LIST 08/05/2020
APPLICATION 08/05/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/07/2011
DISCIPLINE POLICIES 05/07/2011
LOCAL BUILDING APPROVAL 05/07/2011
LOCAL FIRE DEPARTMENT NOTIFICATION 05/07/2011
LOCAL ZONING APPROVAL 05/07/2011
SAMPLE FORMS 05/07/2011




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 2
Total Children 13
StaffChildClass AgeNote
1 9 MIXED Joy Crum with 3 four-year-olds, 3 five year olds, and 3 school age children 5-10 years of age.
1 4 PRESCHOOL Christiana Donner with four 2-3 year olds including 2 two-year-olds.

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Violation
 Provider Comments
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for board president: Homer Maddox.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Michael Diener, Joy Crum, Christina Donner, and Homer Maddox within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Not Observed
19 CSR 30-62.112 Staff/Child Ratios
Not Observed
19 CSR 30-62.122 Medical Examination Reports
Not Observed
19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Not Observed
19 CSR 30-63.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed