DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

A PLACE FOR CHILDREN, INC.

001868671

(314) 821-3433

10823 BIG BEND RD
ST LOUIS
MO  63122-6029

A PLACE FOR CHILDREN, INC.

10823 BIG BEND RD
ST LOUIS
MO  63122

MEYER, GAIL ANN

aplaceforchildren@me.com

Incorporated

MICHELLE (SHELLEY) TRUESDALE

6 WEEKS - 36 MONTHS

35

GROUP HOME AND CENTER

35 CHILDREN IN THE INFANT/TODDLER UNIT; 17 CHILDREN UNDER 12 MONTHS; 23 CHILDREN UNDER 24 MONTHS; MAXIMUM AGE 35 MONTHS
 
Inspection Information

04/19/2021

12:45 PM

1:19 PM

UNANNOUNCED

REINSPECTION

2397980223


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/26/2012
SAMPLE WEEKLY MENU 10/25/2005
SAMPLE FORMS 10/25/2005
POLICIES 10/25/2005
OWNER/PROVIDER REFERENCES 10/25/2005
LOCAL ZONING APPROVAL 01/01/2019
LOCAL BUILDING APPROVAL 10/25/2005
LINES OF ADMINISTRATIVE AUTHORITY 10/25/2005
JOB RESPONSIBILITIES 10/25/2005
DISCIPLINE POLICIES 10/25/2005
DIRECTOR'S QUALIFICATIONS 10/25/2005
DIAGRAM/OUTDOOR 10/25/2005
DIAGRAM/INDOOR 10/25/2005
DAILY SCHEDULE 10/25/2005
CHILD CARE PRACTICES 10/25/2005
ARTICLES OF INCORPORATION 10/25/2005
LOCAL FIRE DEPARTMENT NOTIFICATION 06/16/2014
APPLICATION 07/26/2019
EQUIPMENT LIST 08/20/2019
STAFF SHEET 08/20/2019
CERTIFICATE OF GOOD STANDING 08/20/2019
FIRE/SAFETY INSPECTION 10/28/2020
SANITATION INSPECTION 07/06/2020
SAFE SLEEP POLICY 08/27/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
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 7
Total Children 29
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Caregivers Dana Gardner & Lee Mesecher with children ages 9 - 14 months
2 7 INFANTS AND TODDLERS Caregivers Gail Meyer & Carol Wiedl with children ages 5 - 13 months
2 8 INFANTS AND TODDLERS Caregivers Karen Medved & Liz Mesecher with children ages 14 - 23 months
1 7 TWO YEAR OLDS Caregiver Nancy Gibson

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Licensing Process
Not Observed
19 CSR 30-62.052 Annual Requirements
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility did not provide 45 square feet of usable floor space for each infant and toddler as evidenced by 11 children under two were cared for in a space with room for 8 under two.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (I) states: For facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, at least forty-five (45) square feet of usable floor space shall be provided in the facility for each infant and toddler. Space occupied by napping equipment does not have to be deducted from usable floor space;
Correction Required
Forty-five square feet of usable floor space shall be provided for each infant/toddler. (GF)

Correction Verification
Return Inspection

Compliance Date
4/19/2021
Violation
Required group size was exceeded as follows: the correct group size for children under 2 years was not met as evidenced by 11 children were in the group.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (IV) states: No more than eight (8) infant/toddlers or sixteen (16) two (2)-year olds shall be in a group;
Correction Required
Infants/Toddlers-1:4 ratio required with no more than 8 in a group. Two-year olds - 1:8 ratio required with no more than 16 in a group.

Correction Verification
Return Inspection

Compliance Date
4/19/2021
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (T) 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 age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification
Submit Documentation

Compliance Date
4/18/2021
Violation
The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (T) 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 age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification
Submit Documentation

Compliance Date
4/18/2021
Violation
The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (T) 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 age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification
Submit Documentation

Compliance Date
4/18/2021
Violation
The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (T) 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 age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification
Return Inspection

Compliance Date
4/19/2021
19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 11 children, ages 3 months - 15 months, were cared for by 2 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date
4/19/2021
19 CSR 30-62.122 Medical Examination Reports
Not Observed
19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Not Observed
19 CSR 30-63.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Carol Ann Wiedl.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
4/18/2021
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed