DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KIDS CONNECTION PRESCHOOL AND DAYCARE

000648393

(417) 882-5992

3245 S KANSAS AVE
SPRINGFIELD
MO  65807-5605

FIRST CHURCH OF THE NAZARENE



 

GILLIAM, ASHTON VICTORIA

jkistler@417onelife.com


LEAH WHITE

24 MONTHS - 12 YEARS

84

LICENSE EXEMPT PROGRAM

 
Inspection Information

11/02/2020

2:00 PM

3:24 PM

ANNOUNCED

ANNUAL

2387289164


DocumentDocument-Date
SANITATION INSPECTION 10/14/2020
NOTICE OF PARENTAL RESPONSIBILITY 11/02/2020
FIRE/SAFETY INSPECTION 08/27/2020




Inspection determined facility to be in compliance with rules.
Open Violations: 3
Attendance at Time of Inspection
Total Staff 8
Total Children 39
StaffChildClass AgeNote
1 3 MIXED Carla Edwards was present with two 2 year old children and one 3 year old child.
1 5 PRESCHOOL Kris Carlson with two preschool age children.
1 6 PRESCHOOL Kaitlynne Dooley was present with six children.
1 5 PRESCHOOL Brenda Blackwell was with five preschool children.
1 6 PRESCHOOL Hope Hamm was present with six preschool children.
1 6 PRESCHOOL Esther Shelton was present with 6 children.
1 2 PRESCHOOL Sarah Wahl was present with two children.
1 6 TWO YEAR OLDS Jennifer Hayden was present with six 2 year old children.

 
19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
 Provider Comments
Violation
A copy of the Notice of Parental Responsibility form was not filed annually, during the month of August, with the department.
Licensing Rule Reference
19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (D) states: A child care facility operated by a religious organization shall file the Notice of Parental Responsibility form with the department annually during the month of August.
Correction Required
The Notice of Parental Responsibility form shall be filed annually, during the month of August, with the department.

Correction Verification
Corrected on Site

Compliance Date
11/2/2020
19 CSR 30-60.050 Staffing Requirements
Violation
 Provider Comments
Violation
The facility did not meet requirements for requests/results of a criminal background check. A criminal background check on file is older than five years for the following staff member(s): Kaitlynne Dooley, Sydney Hollis, Sarah Wahl, Jennifer Hayden, Carla Edwards, and Bruce McCrite.
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements (6) states: Criminal background checks shall be completed every five (5) years for child care staff members of nursery schools and facilities operated by a religious organization and that receive federal funds for providing care for children in accordance with 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests/results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
Requirements for children's medical examination reports 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 8/25/2020.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.
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

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
Compliance
19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
19 CSR 30-60.120 Admission Procedures and Required Reports and Records
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 210.115 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