DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
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Facility Information

STRICTLY PEDIATRICS CENTER, INC.

000791200

(314) 439-0800

56 WORTHINGTON ACCESS DR
MARYLAND HEIGHTS
MO  63043

STRICTLY PEDIATRICS CENTER, INC.



 

FRICKE, GWENDOLYN FAYE

STRICTLYPEDIATRICS@SBCGLOBAL.NET

Incorporated

JOYCE E GREEN

6 WEEKS - 12 YEARS

192

GROUP HOME AND CENTER

31 CHILDREN UNDER 12 MONTHS; 72 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/14/2021

9:52 AM

2:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2404145890


DocumentDocument-Date
SAMPLE FORMS 06/10/1996
LOCAL ZONING APPROVAL 02/09/1996
LOCAL BUILDING APPROVAL 02/09/1996
LINES OF ADMINISTRATIVE AUTHORITY 06/10/1996
JOB RESPONSIBILITIES 06/10/1996
DIRECTOR'S QUALIFICATIONS 12/23/2009
DIAGRAM/OUTDOOR 12/06/2005
DIAGRAM/INDOOR 09/17/2012
DAILY SCHEDULE 06/10/1996
CHILD CARE PRACTICES 06/10/1996
ARTICLES OF INCORPORATION 06/10/1996
POLICIES 11/29/2017
DISCIPLINE POLICIES 11/29/2017
CERTIFICATE OF GOOD STANDING 11/29/2017
SAMPLE WEEKLY MENU 11/29/2017
APPLICATION 10/23/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/09/2011
SAFE SLEEP POLICY 01/21/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 06/18/2020
FIRE/SAFETY INSPECTION 10/15/2020
SANITATION INSPECTION 11/25/2020
EQUIPMENT LIST 11/24/2020
STAFF SHEET 11/24/2020
ANNUAL DECLARATION 12/14/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 9
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 34
Total Children 125
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Danielle Dorris, teacher, and Krystalyn Messmer, teacher, were present with 7 children, ages 3 months to 7 months.
1 4 INFANTS AND TODDLERS Alexandra Hanse, teacher, was present with 4 children, ages 8 months to 10 months.
1 3 INFANTS AND TODDLERS Abby Thomas, teacher, was present with 3 children, ages 8 months to 11 months.
1 4 INFANTS AND TODDLERS Abby Cain, teacher, was present with 4 children, ages 11 months to 14 months.
2 8 INFANTS AND TODDLERS Abbie Jarvis, teacher, and Victoria Acree, teacher, were present with 8 children, ages 20 months to 24 months.
2 7 INFANTS AND TODDLERS Jelissa Harris, teacher, and Tara Bradley, teacher, were present with 7 children, ages 15 months to 16 months.
1 4 INFANTS AND TODDLERS Rachel Robinson, teacher, was present with 4 children, ages 16 months to 22 months.
2 12 MIXED Carol Ley, teacher, and Nina Burgess, teacher, were present with 12 children, ages 2 to 3 years
2 16 MIXED Sara Duncan, teacher, and Sarah Fogel, teacher, were present with sixteen children, ages 4 to 5 years.
4 4 MIXED Amy Leesmann, nurse, Collen Gund, physical therapist, Marluel McNulty, teacher, and Jane Korrinhizer, nurse, were present with 4 children, ages 10 months to 2 years. This attendance was taken in the SAMS room.
4 6 MIXED Alex Schwetz, nurse, Katrina Graves, nurse, Hailey Bodenschatz, nurse, and Kelsea Richardson, physical therapist, were present with 6 children, ages 13 months to 3 years. This attendance was taken in the SAMS room.
3 6 MIXED Berina Kurtovic, nurse, Erin Molstad, nurse, and Rayvin Webber, teacher, were present with 6 children, ages 24 months to 4 years. This attendance was taken in the SAMS room.
4 0 NO CHILDREN IN ATTENDANCE Gwendolyn Fricke, director, Tiffany Booth, assistant director, Ellen Girresch, nursing supervisor and Jordan Fields, cook, were present with no children.
2 20 PRESCHOOL Haley Ford, teacher, and Tracy Fairbanks, teacher, were present with twenty children, ages 3 to 4 years.
2 17 PRESCHOOL Rebecca Silvey, teacher, and Rebecca Vehige, teacher, were present with 17 children, all aged 3 years.
1 7 TWO YEAR OLDS Amber Hicks, teacher, was present with 7 children, all aged 2 years.

 
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
Violation
 Provider Comments
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 5 to 6 inches in height and length. The openings were located in the preschool outdoor play area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date
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
Violation
 Provider Comments
Violation
Outdoor equipment, sand table, in the garden area was not in good condition as evidenced by the center of the table was cracked and presented a hazard.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
7/14/2021
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff : Victoria Acree, Hailey Bodenschatz, Nina Burgess, Alexandra Hanse and Abby Thompson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date
Violation
Background screening information was not available for review for Jordan Fields.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Sarah Fogle.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Hailey Bodenschatz, Katrina Graves, Alexandra Hanse, Abby Thompson and Jada Wallace as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Hailey Bodenschatz, Crista Lewis and Rayvin Webber.
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
Submit Documentation

Compliance Date
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for two child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
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
One child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
Violation
One child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
19 CSR 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.115. 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