DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLARA BELLE NURSERY SCHOOL

000180227

(314) 921-1156

1165 HUMES LN
FLORISSANT
MO  63031-3338

CRUTCHFIELD, CLARA MAY

1165 HUMES LN
FLORISSANT
MO  63031-3338

CRUTCHFIELD, KELLY ANN

LILCRUTCH68@LIVE.COM


KATHERINE D SIMS

24 MONTHS - 10 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

01/08/2021

7:55 AM

8:51 AM

UNANNOUNCED

CLOSE SUPERVISION

2391004469


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/15/2000
REGISTERING FICTITIOUS NAMES 05/06/2009
DIRECTOR'S QUALIFICATIONS 11/18/1991
CHILD CARE PRACTICES 04/05/1988
DISCIPLINE POLICIES 04/05/1988
DIAGRAM/OUTDOOR 08/29/1983
DIAGRAM/INDOOR 08/29/1983
DAILY SCHEDULE 03/27/1980
JOB RESPONSIBILITIES 03/27/1980
LINES OF ADMINISTRATIVE AUTHORITY 03/27/1980
POLICIES 03/27/1980
SAMPLE FORMS 03/27/1980
LOCAL BUILDING APPROVAL 07/15/2020
APPLICATION 02/12/2020
EQUIPMENT LIST 02/12/2020
STAFF SHEET 02/12/2020
LOCAL ZONING APPROVAL 07/15/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/30/2018
FIRE/SAFETY INSPECTION 02/25/2020
SANITATION INSPECTION 02/18/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 3
Total Children 10
StaffChildClass AgeNote
1 6 MIXED Tammy Gergen present with 6 children, ages 3-9yrs old
1 0 NO CHILDREN IN ATTENDANCE Kelly Crutchfield present with no children in attendance
1 4 PRESCHOOL Pam Jacquemin present with 4 children, ages 2-4yrs 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
Compliance
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
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination report was older than 12 months prior to admission - the admission date(s) and date(s) of medical was/were 5.20.17.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include child's address.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include work schedule 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