DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

NOAH'S ARK PRESCHOOL

001861892

(816) 632-7904

209 LITTLE BRICK ST
CAMERON
MO  64429

PRINCE OF PEACE LUTHERAN CHURCH



 

KIMBALL, ADRIENNE LEE

JOSHUA2415ALK@YAHOO.COM

Incorporated

MICHELLE RENEE TRUSSELL

36 MONTHS - 5 YEARS

30

LICENSE EXEMPT PROGRAM

 
Inspection Information

01/12/2022

8:30 AM

3:42 PM

ANNOUNCED

ANNUAL

2416111876


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 09/10/2021
SANITATION INSPECTION 10/26/2021
FIRE/SAFETY INSPECTION 11/05/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 1
Attendance at Time of Inspection
Total Staff 1
Total Children 2
StaffChildClass AgeNote
1 2 MIXED Adrienne Kimball was present with a 4-year old and a 5-year old.

 
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
The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): Frederick Kiehl, Lois Schaeffer and Mark Goucher.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (7) states: A check of the Family Care Safety Registry shall be conducted for all child care staff members of nursery schools every two (2) years.
Correction Required
Required requests/results of background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.050 Health Requirements
Compliance
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