DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

UNLEASHING POTENTIAL

002390756

(314) 771-3533

3709 NEBRASKA AVE
ST LOUIS
MO  63118

UNLEASHING POTENTIAL

1000 N VANDEVENTER AVE 2ND FL
ST LOUIS
MO  63113-3435

MONTGOMERY, BRENDA STACY

nnelson@upstl.org

Incorporated

REGINA WATKINS

5 YEARS - 12 YEARS

90

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/06/2021

2:32 PM

3:44 PM

UNANNOUNCED

COMPLIANCE MONITORING

2396909532


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/07/2013
DIRECTOR'S JOB RESPONSIBILITIES 03/26/2013
JOB RESPONSIBILITIES 03/26/2013
SAMPLE FORMS 02/07/2013
POLICIES 02/07/2013
LINES OF ADMINISTRATIVE AUTHORITY 12/13/2012
DIRECTOR'S QUALIFICATIONS 03/19/2013
DISCIPLINE POLICIES 03/26/2013
DAILY SCHEDULE 03/19/2013
CHILD CARE PRACTICES 02/07/2013
REGISTERING FICTITIOUS NAMES 01/04/2017
CERTIFICATE OF GOOD STANDING 01/04/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/27/2017
STAFF SHEET 02/05/2019
EQUIPMENT LIST 02/05/2019
APPLICATION 02/05/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 12
StaffChildClass AgeNote
2 12 MIXED Ivory Clark and Mazie Smith
1 0 NO CHILDREN IN ATTENDANCE Neisha Nelson -Director

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Ivory Clark, Mazie Smith, Rachele Johnson-Bell, and Chavonni Meeks within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
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 name, address and telephone number of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
4/6/2021
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