DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

COUNTRY CLUB CHRISTIAN CHURCH WEEK DAY PROGRAM

000828957

(816) 333-6311

6101 WARD PKY
KANSAS CITY
MO  64113

COUNTRY CLUB CHRISTIAN CHURCH



 

MCCLEISH, LISA

LISAM@CCCCKC.ORG


PENNY SNODGRASS

BIRTH - 6 YEARS

137

LICENSE EXEMPT PROGRAM

 
Inspection Information

10/19/2021

11:00 AM

1:00 PM

ANNOUNCED

ANNUAL

2410931121


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 10/19/2021
FIRE/SAFETY INSPECTION 10/18/2021
SANITATION INSPECTION 08/06/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 5
Attendance at Time of Inspection
Total Staff 19
Total Children 64
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Toddlers. Room 17. Staff: Joan Bock and Brandy Peed. NPR-1:4
2 4 INFANTS AND TODDLERS Infants. Room 19. Staff: Kara Gibson and Kelsey Campbell. NPR: under 9 months 1:3.
2 4 INFANTS AND TODDLERS Room 20. Tod. 1 Staff: Matti Davis and Angela Pham. NPR: 1:4 for 10 months - 2 years.
1 7 MIXED 4 & 5 year olds. Room 216. Staff: Stephanie Luzar. NPR: 1:10 3 & 4 year olds.
2 11 MIXED Room 214. 4 & 5 year olds. Staff: Rebakh Burrow and Barbara Jurgensmeier.
3 0 NO CHILDREN IN ATTENDANCE Director: Lisa McCleish Assistant Director: Meridith Hunt. Administrative Assistant: Gretchen Parkison.
0 0 NO CHILDREN IN ATTENDANCE Rooms 215 and 115 were closed with no children/staff.
1 8 PRESCHOOL Room 114. 3 & 4 year olds. Staff: Alicia Worley. NPR: 1:10 for 3 & 4 year olds.
2 8 PRESCHOOL 3 & 4 year olds. Room 113. Staff: Matt Constant and Jeanine DeMarco. NPR: 1:10 for 3 - 4 year olds.
2 7 TWO YEAR OLDS Room 21. All 2 year olds. Staff: Katie Slates and Bethany Hanna. NPR: 1:8 for 2 - 3 year olds.
2 8 TWO YEAR OLDS Room 18. Tots-2 year olds. Staff: Valsie Jones and Simona Peters. NPR: 1:4 for 10 months - 2 years.

 
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Violation
 Provider Comments
Violation
Background screening information received by the provider was not available for review as evidenced by Leiola Reeder didn't have a FCSR on file.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (8) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and made available for review when requested by the department.
Correction Required
Background screening information shall be retained in the individual file, kept confidential, and made available for review when requested by the department.

Correction Verification
Submit Documentation

Compliance Date

Violation
A caregiver has not reviewed the rules of this chapter as evidenced by Barbara Jurgensmeier hasn't signed an acknowledgment statement.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.
Correction Required
All caregivers shall review the rules as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports, including TB testing, were not on file for Jeannine DeMarco and Barbara Jurgensmeier as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
5 CSR 25-300.050 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

Violation
Medical examination reports, including TB testing, were not on file for Barbara Jurgensmeier as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-300.050 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

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 Matt Constant and Jeannine DeMarco did not have physicals with statement of being physically and mentally able to care for children.
Licensing Rule Reference
5 CSR 25-300.050 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

5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Compliance
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Compliance
5 CSR 25-300.100 Transportation and Field Trip Requirements
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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