DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

THE NEST AT CENTRAL REFORM CONGREGATION

002650073

(314) 361-3919

5020 WATERMAN BLVD
ST LOUIS
MO  63108-1102

CENTRAL REFORM CONGREGATION



 

BROWN, SALLY

thenest@centralreform.org

Incorporated

REGINA WATKINS

BIRTH - 5 YEARS

36

LICENSE EXEMPT PROGRAM

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/20/2021

10:33 AM

11:55 AM

ANNOUNCED

ANNUAL

2404596897


DocumentDocument-Date
FIRE/SAFETY INSPECTION 06/03/2021
NOTICE OF PARENTAL RESPONSIBILITY 08/07/2020
SANITATION INSPECTION 04/28/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 2
Attendance at Time of Inspection
Total Staff 12
Total Children 24
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS Caregivers- Carsen Swallow and Brandee Hunt with children ages 2 years
3 7 INFANTS AND TODDLERS Caregiver Judith Velasco., Kelly Kaufenberg and Tristyn Murrell with children ages 4 months to 1 years
2 4 INFANTS AND TODDLERS Caregivers-Elise Roberts and Morgan McGinnes with children ages 17-20 months
3 10 MIXED Caregivers- Patrice Brown, Gracie DeVasto, Teona Keys with children ages 2- 5 years (5 children were two years of age)
2 0 NO CHILDREN IN ATTENDANCE Maxine Weil and Charlene Ehll

 
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
Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 3.15.2021.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
7/20/2021
Violation
Medical examination reports, including TB testing, were not on file for Carsen Swallow 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 30-60.060 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
The walls located in the infant and toddler room was/were not in good condition as evidenced by there was chipping paint.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

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
Compliance
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