DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

STONEBROOKE KIDZ ACADEMY

002546954

(573) 774-3522

500 GW LANE STREET
WAYNESVILLE
MO  65583

STONEBROOKE CHURCH, INC.

20980 ROWDEN LN
WAYNESVILLE
MO  65583-2702

ROWDEN, JEANIE

stonebrookekidzacademy@gmail.com

Incorporated

SHELBY N KOETTING

BIRTH - 12 YEARS

171

LICENSE EXEMPT PROGRAM

60 CHILDREN IN THE INFANT/TODDLER UNIT; 42 CHILDREN UNDER 12 MONTHS
 
Inspection Information

07/01/2021

9:45 AM

1:42 PM

ANNOUNCED

ANNUAL

2403454573


DocumentDocument-Date
SANITATION INSPECTION 04/13/2021
FIRE/SAFETY INSPECTION 07/28/2020
NOTICE OF PARENTAL RESPONSIBILITY 07/30/2020




Inspection determined facility to be in compliance with rules.
Open Violations: 3
Attendance at Time of Inspection
Total Staff 16
Total Children 88
StaffChildClass AgeNote
2 10 INFANTS AND TODDLERS Taylor Cartolano and Ivy Harrison with 10 children age 1 year (ratio for this age group is 1 staff to 6 children).
1 5 INFANTS AND TODDLERS Savannah Ryan and Anna Mesa with 4 children under 12 months and 1 child age 1 year (ratio for this age group is 1 staff to 6 children).
1 5 INFANTS AND TODDLERS Katelyn Mitchell and Kennedy Hurd with 5 children under 12 months (ratio for this age group is 1 staff to 6 children).
3 30 MIXED Kayla Saulpaugh, Jaymie Bowen, and Karri Werner with 30 children ages 3-5 years (ratio for this age group is 1 staff to 10 children due to the 3 year old children).
1 9 MIXED Gabriela Vazquez with 9 children ages 2-3 years (ratio for this age group is 1 staff to 10 children).
3 0 NO CHILDREN IN ATTENDANCE Jeanie Rowden, Mackenzie Atterberry, Karen Nees, and Sandy Steele in the office with 0 children.
1 0 NO CHILDREN IN ATTENDANCE Netanya Dodsworth in the kitchen with 0 children.
1 14 SCHOOL AGE Hailee Crow with 14 school age children (ratio for this age group is 1 staff to 20 children).
2 9 TWO YEAR OLDS Angelica Peavler and Trinity Palmer with 9 children age 2 (ratio for this age group is 1 staff to 10 children).
1 6 TWO YEAR OLDS Chloe Brennan with 6 children age 2 years (ratio for this age group is 1 staff to 10 children).

 
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 Kiley Black, Jessica Chapman, Angelica Peavler, Jordan Garcia, Carson Schroeder, and Reagan Harrison as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
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
Compliance
19 CSR 30-60.090 Sanitation Requirements
Compliance
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: sunscreen bottles. The item(s) was/were located on a low shelf and accessible to children in the preschool room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
7/1/2021
Violation
The facility failed to meet requirements for 14 school age children 12 months or older was/were sleeping/napping on bare ground with blankets. Facility brought cots in for these children to use to nap on, if they choose to nap.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.

Correction Verification
Corrected on Site

Compliance Date
7/1/2021
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 5 (C) states: Sleeping equipment arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Submit Documentation

Compliance Date

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 one 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
Corrected on Site

Compliance Date
7/1/2021
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 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
Corrected on Site

Compliance Date
7/1/2021
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.
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) to (15) of subsection 1 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