MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
ST. LOUIS CHILDREN'S HOSPITAL

Facility DVN
000168492

Phone
(314) 454-4700

Physical Address
321 S NEWSTEAD AVE
ST LOUIS
MO 63110-1189

Owner
ST. LOUIS CHILDREN'S HOSPITAL

Mailing Address

Provider/Director
ZITKO, MARGARET A

E-mail Address
margaret.zitko@bjc.org

Incorporated
Incorporated

Child Care Specialist
MICHELLE (SHELLEY) TRUESDALE

Age Range
6 WEEKS - 10 YEARS

Capacity
235

Facility Type
GROUP HOME AND CENTER

Limitations
51 CHILDREN UNDER 12 MONTHS; 80 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/01/2021

Arrival Time
2:15 PM

Departure Time
4:03 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2413474431

Document	Document-Date
CERTIFICATE OF GOOD STANDING	03/15/2019
ANNUAL DECLARATION	03/19/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/19/2021
ARTICLES OF INCORPORATION	02/27/2015
DAILY SCHEDULE	05/22/1995
DIAGRAM/INDOOR	05/22/1995
DIAGRAM/OUTDOOR	05/22/1995
DISCIPLINE POLICIES	05/22/1995
JOB RESPONSIBILITIES	05/22/1995
SAMPLE FORMS	05/22/1995
SAMPLE WEEKLY MENU	05/22/1995
CHILD CARE PRACTICES	05/22/1995
POLICIES	05/22/1995
APPLICATION	01/09/2019
EQUIPMENT LIST	03/19/2021
STAFF SHEET	03/15/2019
SANITATION INSPECTION	03/17/2021
FIRE/SAFETY INSPECTION	01/26/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

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 30

Total Children 105

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Caregivers Makayla Brigance & Maria Krajczar with children ages 7 - 12 months
2	4	INFANTS AND TODDLERS	Caregivers Pam Brooks & Abby Reinarman with children ages 4 - 22 months
2	3	INFANTS AND TODDLERS	Caregivers Mary Muehlberg & Rosie Hall with children ages 5 - 7 months
2	5	INFANTS AND TODDLERS	Caregivers Devon Fitzpatric & Veronique O'Kelly-Sims with children ages 5 - 11 months
2	5	INFANTS AND TODDLERS	Caregivers Cosandra Rogers & Lauren Taylor with children ages 4 - 7 months
2	3	INFANTS AND TODDLERS	Caregivers Patty Baker & Renita Joseph with children ages 15 - 20 months
2	6	MIXED	Caregivers Hannah Clodius & Maliyah Florian with children ages 14 months - 2
2	7	MIXED	Caregivers Maria Johnson & Valeria Nelson with 2's & 3's
2	12	MIXED	Caregivers Rebecca Schwalbert & Minerva McMath with 2's & 3's
2	4	MIXED	Caregivers Ruby Dyson & Linda Harris with children ages 16 months - 2 years
1	0	NO CHILDREN IN ATTENDANCE	Director Margaret Zitko present today
2	16	PRESCHOOL	Caregivers LaVonda Robinson & Christine McNeary with 3's
3	11	PRESCHOOL	Caregivers Brenda Drake, Karen Lombardo, & Melissa Engelman with 3's & 4's
2	11	PRESCHOOL	Caregivers Hope Helton & Angela Muniz with 4's & 5's
2	11	TWO YEAR OLDS	Caregivers Pat Parker & Holly Ellis

5 CSR 25-500.032 Organization and Administration

Compliance

5 CSR 25-500.042 Licensing Process

Compliance

5 CSR 25-500.052 Annual Requirements

Compliance

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Compliance

5 CSR 25-500.087 Fire Safety

Compliance

5 CSR 25-500.090 Disaster and Emergency Preparedness

Compliance

5 CSR 25-500.092 Furniture, Equipment and Materials

Compliance

5 CSR 25-500.102 Personnel

Compliance

5 CSR 25-500.112 Staff/Child Ratios

Compliance

5 CSR 25-500.122 Medical Examination Reports

Compliance

5 CSR 25-500.132 Admission Policies and Procedures

Compliance

5 CSR 25-500.142 Nighttime Care

Compliance

5 CSR 25-500.152 Hourly Care Facilities

Compliance

5 CSR 25-500.162 Overlap Care of Children

Compliance

5 CSR 25-500.172 Emergency School Closings

Compliance

5 CSR 25-500.182 Child Care Program

Compliance

5 CSR 25-500.192 Health Care

Compliance

5 CSR 25-500.202 Nutrition and Food Service

Violation

	Provider Comments
Violation The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by observed afternoon snack was animal crackers with water. Licensing Rule Reference 5 CSR 25-500.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule. Correction Required Nourishing food shall be provided as required. Correction Verification Corrected on Site Compliance Date 12/1/2021

5 CSR 25-500.212 Transportation and Field Trips

Compliance

5 CSR 25-500.222 Records and Reports

Compliance

5 CSR 25-600.020 General Requirements

Compliance

5 CSR 25-600.040 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