DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LOVING HEARTS CHILD CARE CENTER

001777788

(314) 381-8380

7032 NATURAL BRIDGE RD
ST LOUIS
MO  63121-5142

FLETCHER, FREDRICK JAMES



 

FLETCHER, CAROL ANN

carol.a.mayfield@gmail.com


KATHERINE D SIMS

6 WEEKS - 12 YEARS

45

GROUP HOME AND CENTER

19 CHILDREN UNDER 24 MONTHS; THIS LICENSE INCLUDES ADDRESS: 7030 NATURAL BRIDGE RD; 7032 NATURAL BRIDGE: CAPACITY OF 34 CHILDREN, 8 UNDER 24 MONTHS; 7030 NATURAL BRIDGE: CAPACITY OF 11 CHILDREN, 6 WKS TO 35 MOS
 
Inspection Information

10/26/2021

9:30 AM

9:50 AM

UNANNOUNCED

REINSPECTION

2411153854


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 11/21/2012
POLICIES 05/15/2003
JOB RESPONSIBILITIES 05/15/2003
DAILY SCHEDULE 05/15/2003
CHILD CARE PRACTICES 05/15/2003
DIAGRAM/OUTDOOR 05/15/2003
DIAGRAM/INDOOR 05/15/2003
LOCAL BUILDING APPROVAL 05/04/2015
LOCAL ZONING APPROVAL 05/04/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/14/2018
SAFE SLEEP POLICY 05/14/2018
APPLICATION 05/15/2019
EQUIPMENT LIST 06/18/2021
STAFF SHEET 05/17/2019
REGISTERING FICTITIOUS NAMES 06/18/2021
FIRE/SAFETY INSPECTION 04/15/2021
SANITATION INSPECTION 05/07/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/23/2021
ANNUAL DECLARATION 06/18/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   10/20/2011



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 5
Total Children 21
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Gladys Cole and Sylvia White present with 6 children, ages 10-22m old
1 0 NO CHILDREN IN ATTENDANCE Gladys Lathan present with no children in attendance.
1 7 PRESCHOOL Ciera Johnson present with 7 children, ages 3-5yrs old
1 8 TWO YEAR OLDS Kamille Bailey present with 8 children, all 2yr old

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by there was a black tarp coming through the mulch in multiple areas causing a tripping hazard.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by in the infant playground there was overgrown ivy within the play space and on the fence line.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the 2's classroom was/were not in good condition as evidenced by in the corner near the play kitchen the wall has large areas of peeling/chipping paint.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the infant building was/were not in good condition as evidenced by the wall under the number line had a large area of peeling/chipping paint.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by when breakfast was served, Ms Gladys walked through the I/T space to take breakfast to children in the preschool building.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VIII) states: Infant/toddler areas may not be used by staff or older children as passageways to other areas of the building.
Correction Required
Infant/toddler areas shall not be used as a passageway by other staff or children.

Correction Verification
Submit Documentation

Compliance Date
10/13/2021
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 2 items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. D. states: Cloth or plastic coated books.
Correction Required
The facility shall provide approved equipment as required.

Correction Verification
Submit Documentation

Compliance Date
10/13/2021
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Carol Mayfield Fletcher needs 1hr.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
7/29/2021
Violation
Safe sleep training was not completed within the past 3 years for the following staff Gladys Lathan.
Licensing Rule Reference
5 CSR 25-500.102 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
10/13/2021
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 8. A. states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.152 Hourly Care Facilities
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 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 1 child(ren).
Licensing Rule Reference
5 CSR 25-500.192 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
10/13/2021
Violation
Requirements for handwashing were not met as evidenced by Preschool staff did not wash hands before serving breakfast. .
Licensing Rule Reference
5 CSR 25-500.192 Health Care (6) (A) states: Caregivers shall wash their hands with soap and running water after toileting or assisting a child with toileting, after diapering a child, before food preparation or serving of food and at other times as needed.
Correction Required
Staff/children shall wash hands as required.

Correction Verification
Submit Documentation

Compliance Date
10/13/2021
Violation
Requirements for handwashing were not met as evidenced by not all children in the preschool classroom washed hands before eating breakfast.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (6) (B) states: Caregivers shall teach children to wash their hands before eating and after toileting.
Correction Required
Staff/children shall wash hands as required.

Correction Verification
Submit Documentation

Compliance Date
10/13/2021
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/30/2021
Violation
1 child(ren) records did not include child's address.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/30/2021
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Sylvia White and Gladys Cole.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
10/13/2021
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed