DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ST. PAUL'S EVANGELICAL LUTHERAN CHURCH OF KANSAS CITY, MISSOURI, (MISSOURI SYNOD)

000791826

(816) 373-3582

17200 E 39TH ST S
INDEPENDENCE
MO  64055-3832

ST. PAUL'S EVANGELICAL LUTHERAN CHURCH OF KANSAS CITY, MISSOURI, (MISSOURI SYNOD)



 

DOMSCH, DAWNELL ELIZABETH

PRECIOUSLAMBS96@YAHOO.COM

Incorporated

JANA BARTON

6 WEEKS - 12 YEARS

60

GROUP HOME AND CENTER

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

12/09/2020

2:40 PM

3:46 PM

UNANNOUNCED

COMPLIANCE MONITORING

2389440132


DocumentDocument-Date
LLC ARTICLES OF ORGANIZATION 10/11/1996
SAMPLE WEEKLY MENU 10/16/1996
ARTICLES OF INCORPORATION 10/11/1996
CERTIFICATE OF GOOD STANDING 10/02/2014
DISCIPLINE POLICIES 09/08/1997
CHILD CARE PRACTICES 09/08/1997
POLICIES 10/23/1996
JOB RESPONSIBILITIES 10/23/1996
LINES OF ADMINISTRATIVE AUTHORITY 10/23/1996
DAILY SCHEDULE 10/23/1996
DIAGRAM/INDOOR 10/08/1996
DIAGRAM/OUTDOOR 10/08/1996
DIRECTOR'S QUALIFICATIONS 11/02/2004
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/24/2018
SAFE SLEEP POLICY 04/24/2018
APPLICATION 10/12/2018
STAFF SHEET 10/12/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/27/2020
LICENSING ORIENTATION 12/09/2020
SANITATION INSPECTION 08/24/2020
FIRE/SAFETY INSPECTION 09/02/2020
EQUIPMENT LIST 10/27/2020
ANNUAL DECLARATION 10/27/2020




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 4
Total Children 12
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Ages 7m-23m April Brumfield Allison Brumfield
1 0 NO CHILDREN IN ATTENDANCE
1 6 PRESCHOOL Ages 3 and 4 Destiny Dunn

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
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 requirements for first aid and CPR training were not met as evidenced by at least one caregiver for every 20 children in capacity was not certified in first aid/CPR in that OPEN report only shows 2 staff with CPR/FA (other staff had CPR/FA cards on file but not documented on OPEN).
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (S) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be and approved by the department.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): April Brumfield.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
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
Not Observed
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.020 General Requirements
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