DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ST. LOUIS CHILDREN'S HOSPITAL

000168492

(314) 454-4700

321 S NEWSTEAD AVE
ST LOUIS
MO  63110-1189

ST. LOUIS CHILDREN'S HOSPITAL



 

ZITKO, MARGARET A

margaret.zitko@bjc.org

Incorporated

KATHERINE D SIMS

6 WEEKS - 10 YEARS

235

GROUP HOME AND CENTER

51 CHILDREN UNDER 12 MONTHS; 80 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/14/2021

9:40 AM

12:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2399973566


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/19/2021
ANNUAL DECLARATION 03/19/2021
ARTICLES OF INCORPORATION 02/27/2015
DAILY SCHEDULE 05/22/1995
DIAGRAM/INDOOR 05/22/1995
DIAGRAM/OUTDOOR 05/22/1995
DISCIPLINE POLICIES 05/22/1995
JOB RESPONSIBILITIES 05/22/1995
SAMPLE FORMS 05/22/1995
SAMPLE WEEKLY MENU 05/22/1995
CHILD CARE PRACTICES 05/22/1995
POLICIES 05/22/1995
APPLICATION 01/09/2019
EQUIPMENT LIST 03/19/2021
STAFF SHEET 03/15/2019
SANITATION INSPECTION 03/17/2021
FIRE/SAFETY INSPECTION 01/26/2021
CERTIFICATE OF GOOD STANDING 03/15/2019




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 26
Total Children 130
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS Patricia Baker and Renita Joseph present with 3 children, all 1yr old
2 8 INFANTS AND TODDLERS Hannah Clodius and Rochelle Henderson present with 8 children, ages 1-2yrs old
2 6 INFANTS AND TODDLERS Kristina Wilkerson and Sydney Biethman present with 6 children, all 1yr old
2 6 INFANTS AND TODDLERS Abigail Barron and Clementine Ellis present with 6 children, ages 1-2yrs old
1 4 INFANTS AND TODDLERS Thelma Lambert-Scales present with 4 children, ages 6m-11m old
1 4 INFANTS AND TODDLERS Tina Pratt present with 4 children, ages 4m-9m old
2 7 INFANTS AND TODDLERS Chelsea DeMease and Pamela Arnold present with 7 children, ages 4m-1yr old
1 4 MIXED Devon Robinson present with 4 children, ages 3m-1yr old
1 0 NO CHILDREN IN ATTENDANCE Margaret Zitko present with no children in attendance
1 10 PRESCHOOL Rachel Smith present with 10 children, ages 4-5yrs old
2 16 PRESCHOOL Brenda Brookfield and Mailyah Florian present with 16 children, ages 4-5yrs old
2 18 PRESCHOOL Lavonda Robinson and Christine McNeary present with 18 children, ages 3-4yrs old
2 10 PRESCHOOL Karen Adkins and Maria Krajczar present with 10 children, ages 2-3 years old (8-2yr olds)
2 15 PRESCHOOL Natasha Towers and Manerva McMath present with 15 children, ages 3-4yrs old
1 8 TWO YEAR OLDS Karen Lombardo present with 8 children, all 2yrs old
1 4 TWO YEAR OLDS Alexis Elgin present with 4 children, all 2yrs old
1 7 TWO YEAR OLDS Angela Muniz present with 7 children, all 2yrs old

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Shina Baban.
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
Corrected on Site

Compliance Date
5/14/2021
Violation
Medical examination report form did not contain all required information as evidenced by Alexis Elgin.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
5/14/2021
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
Compliance
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 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
Corrected on Site

Compliance Date
5/14/2021
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