DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

AGAPE DAY CARE CENTER AND PRESCHOOL

000415296

(573) 785-5466

3396 KANELL BLVD
POPLAR BLUFF
MO  63901-3060

NEW COVENANT FELLOWSHIP COMMUNITY MINISTRIES, INC.



 

PARR, MALLORY MECHELLE

agape3396@outlook.com


MELISSA JILL SMITH

BIRTH - 12 YEARS

98

LICENSE EXEMPT PROGRAM

38 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/01/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2407450945


DocumentDocument-Date
FIRE/SAFETY INSPECTION 06/14/2021
NOTICE OF PARENTAL RESPONSIBILITY 08/12/2021
SANITATION INSPECTION 07/02/2021




Inspection determined facility to be in compliance with rules.
Open Violations: NA

 
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 immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that two children are missing required immunizations.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2021
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
Requirements for indoor play equipment and materials were not as evidenced by toys/materials were not safe as evidenced by the paint was chipping on the brown shelf in room two exposing the wood and making it not easily cleanable.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date
8/26/2021
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 is missing information for the father's work 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
8/23/2021
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by five children's emergency contact is missing an address child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
8/23/2021
Violation
Enrollment, medical and attendance records were not accessible as evidenced by records were not on file at the facility - specifically one child has a medical exam form that is blank.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 6 states: All enrollment records, physical assessment reports and attendance records shall be filed in a place known to caregivers and shall be accessible during normal visiting hours for inspection by the department. Records shall not be in a locked area or removed from the premises during operating hours.
Correction Required
All required records shall be kept on file at the facility and accessible at all times.

Correction Verification
Submit Documentation

Compliance Date
8/23/2021
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.
Compliance