DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MID RIVERS DAY CARE

000237569

(636) 278-1163

349 MID RIVERS MALL DR
ST PETERS
MO  63376

MID RIVERS DAY CARE



 

SIEBEL, THERESA ANN

MIDRIVERSDAYCARE@YAHOO.COM

Incorporated

KATHERINE D SIMS

6 WEEKS - 12 YEARS

99

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/07/2021

12:40 PM

2:06 PM

UNANNOUNCED

COMPLIANCE MONITORING

2390897779


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/15/2020
ANNUAL DECLARATION 12/15/2020
LOCAL ZONING APPROVAL 01/01/2007
LOCAL BUILDING APPROVAL 01/29/1987
SAMPLE FORMS 01/29/1987
SAMPLE WEEKLY MENU 01/12/1987
POLICIES 01/12/1987
LINES OF ADMINISTRATIVE AUTHORITY 01/12/1987
JOB RESPONSIBILITIES 01/12/1987
DISCIPLINE POLICIES 01/12/1987
DIRECTOR'S QUALIFICATIONS 12/29/2003
DIAGRAM/OUTDOOR 01/12/1987
DIAGRAM/INDOOR 12/01/1993
DAILY SCHEDULE 01/12/1987
CHILD CARE PRACTICES 01/12/1987
ARTICLES OF INCORPORATION 01/12/1987
CERTIFICATE OF GOOD STANDING 08/30/2016
APPLICATION 11/18/2019
SANITATION INSPECTION 09/09/2020
FIRE/SAFETY INSPECTION 10/20/2020
EQUIPMENT LIST 12/15/2020
STAFF SHEET 11/18/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 13
Total Children 45
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Lori Bridges present with 2 children, ages 7m-1yr
1 3 INFANTS AND TODDLERS Ember Mueller present with 1 child, ages 1yr old
1 2 INFANTS AND TODDLERS Kathy Wrozier present with 2 children, ages 1yr old
2 0 NO CHILDREN IN ATTENDANCE Theresa Siebel and Emily Podhorsky present with no children in attendance
6 26 PRESCHOOL Courtney Lauer, Katey Higgins, Kayla Weinhold,Kaylyn Henry, Emily Reavey, and Renee ponder present with 26 children, ages 3-5yr old
2 12 TWO YEAR OLDS Melody Wombacher and Brooke Schmidt present with 12 children, all 2yrs old

 
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
Violation
 Provider Comments
Violation
Outdoor equipment, the preschool climber, in outdoor play space was not in good condition as evidenced by there was peeling duct tape covering holes higher up on the climber that were peeling off.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jessica Williams(needs to be signed).
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
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
Infant formulas and special baby foods provided by parents were not labeled.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (2) (C) states: If preferred, formulas and special baby foods may be provided by the parent(s) with individual identification on each container.
Correction Required
Formula and food, provided by parents, shall be appropriately identified.

Correction Verification
Corrected on Site

Compliance Date
1/7/2021
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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