DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

MALDEN UNITED PENTECOSTAL CHURCH

002294780

(573) 276-2889

22439 STATE HIGHWAY J
MALDEN
MO  63863

MALDEN UNITED PENECOSTAL CHURCH



 

MOORE, KIMBERLY ANN

mooreka07@yahoo.com


DAYNEEN GLASTETTER

BIRTH - 13 YEARS

49

LICENSE EXEMPT PROGRAM

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/01/2021

9:00 AM

10:50 AM

ANNOUNCED

ANNUAL

2392575112


DocumentDocument-Date
SANITATION INSPECTION 12/03/2020
NOTICE OF PARENTAL RESPONSIBILITY 02/01/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 6
Attendance at Time of Inspection
Total Staff 3
Total Children 16
StaffChildClass AgeNote
1 6 INFANTS AND TODDLERS Caregiver; Courtney Cowart with 6 Infants and Toddlers present
2 10 PRESCHOOL Director; Kim Moore and Caregiver; Tracy Moore with 10 children ages 3 - 4 years old present

 
19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
19 CSR 30-60.050 Staffing Requirements
Violation
 Provider Comments
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following child care staff member(s): Tracy Moore .
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements (4) states: Facilities operated by a religious organization and that receive federal funds for providing care for children shall have on file qualifying background screening results for child care staff members in accordance with19 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 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that Admission dates of: 07/16/18, 4/11/18, and 7/31/19.
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by DOB: 07/08/19.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (B) states: S/he understands and agrees that the child may not be accepted for care when ill.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by DOB: 07/08/19.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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.
Violation
 Provider Comments
Violation
Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.
Licensing Rule Reference
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), and (5) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification
Submit Documentation

Compliance Date