DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

LORD OF LIFE LUTHERAN PRESCHOOL AND PDO

000521671

(636) 532-0400

15750 BAXTER RD
CHESTERFIELD
MO  63017

LORD OF LIFE LUTHERAN CHURCH



 

USCHOLD, ANN B

preschool@lolstl.org

Incorporated

ALESIA MORGAN

18 MONTHS - 6 YEARS

61

LICENSE EXEMPT PROGRAM

13 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/14/2021

9:00 AM

11:27 AM

ANNOUNCED

ANNUAL

2400016283


DocumentDocument-Date
FIRE/SAFETY INSPECTION 04/13/2021
NOTICE OF PARENTAL RESPONSIBILITY 10/26/2020
SANITATION INSPECTION 04/09/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 6
Attendance at Time of Inspection
Total Staff 10
Total Children 27
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE Sarah Longmire-Director Sharon Malin- office assistant Nellie Igoe-church volunteer Reid Jaeckle-church volunteer
3 7 PRESCHOOL Music Room Karen Crider-teacher Celina Selvan- teacher Ann Uschold-music teacher present with 7 children 2-3yrs old
1 6 PRESCHOOL 3's classroom Ada Pelham -teacher present with 6 children ages 3-4 yrs old
1 5 PRESCHOOL Jr Kindergarten Debra Meert-teacher present with 5 children ages 4-5yrs old
1 9 PRESCHOOL Pre-K room Mary Ann Rose -teacher present with 9 children ages 4-5yrs old

 
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
Compliance
19 CSR 30-60.060 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that the form from the physician for Sarah Longmire did not document that she is approved to work in a child care setting..
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical/TB reports 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
Violation
 Provider Comments
Violation
The facility's evacuation/emergency plan is posted but does not include instructions for infants/nonambulatory children.
Licensing Rule Reference
19 CSR 30-60.080 Fire Safety Requirements 5 (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.
Correction Required
Evacuation/emergency plan must be posted/complete as required.

Correction Verification
Submit Documentation

Compliance Date

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 6 child files did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.
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 1 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
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 2 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 there was no parent acknowledgement concerning the health inspections are available for review.
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 30-63.020 General Requirements
Compliance
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.
Compliance