DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SAINT LUKE'S HOSPITAL OF KANSAS CITY

000178712

(816) 932-3900

4231 PENNSYLVANIA AVE
KANSAS CITY
MO  64111-3076

SAINT LUKES HOSPITAL OF KANSAS CITY



 

HARRIS, JENNIFER RENE

JRHARRIS@SAINT-LUKES.ORG

Incorporated

CRYSTAL HEISER

6 WEEKS - 15 YEARS

260

GROUP HOME AND CENTER

84 CHILDREN IN THE INFANT/TODDLER UNIT; 32 CHILDREN UNDER 12 MONTHS
 
Inspection Information

02/07/2022

1:45 PM

3:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2417388298


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/07/2022
SANITATION INSPECTION 05/18/2021
FIRE/SAFETY INSPECTION 03/24/2021
ANNUAL DECLARATION 05/28/2021
EQUIPMENT LIST 06/10/2021
LINES OF ADMINISTRATIVE AUTHORITY 07/29/1991
JOB RESPONSIBILITIES 05/22/2007
DIRECTOR'S QUALIFICATIONS 03/07/2007
SAMPLE WEEKLY MENU 05/24/1991
DAILY SCHEDULE 06/03/1991
DIAGRAM/OUTDOOR 06/07/1991
DIAGRAM/INDOOR 06/07/1991
ARTICLES OF INCORPORATION 05/19/1982
LOCAL ZONING APPROVAL 06/19/1991
LOCAL BUILDING APPROVAL 06/19/1991
CHILD CARE PRACTICES 05/19/1991
DISCIPLINE POLICIES 06/19/1991
POLICIES 06/19/1991
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/27/2018
APPLICATION 02/20/2019
CERTIFICATE OF GOOD STANDING 02/20/2019
STAFF SHEET 04/24/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 26
Total Children 102
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Caregivers Jessica Shlotman and Natalie Ribaste with 7 children all 1 year olds.
2 6 INFANTS AND TODDLERS Caregivers Donna Durham and Amelia McPherson with 6 children all 1 year olds.
2 6 INFANTS AND TODDLERS Caregivers Reslyn Smith and Adrian Gonzalez with 6 children all 1 year olds.
2 7 INFANTS AND TODDLERS Caregivers Nancy Hernadez and Robin Ryan with 7 children all 1 year olds.
1 3 INFANTS AND TODDLERS Caregiver Abioseh Jaa with 3 children ages: 7 months, 10 months, and 1 year old.
1 4 INFANTS AND TODDLERS Caregiver Alexis Bressette with 4 children ages: 6 months, 9 months, 11 months, and 1 year old.
2 6 INFANTS AND TODDLERS Caregivers Patricia Sherman and Leeza Doxey with 6 children ages: 4-11 months olds, 2-1 year olds.
2 6 INFANTS AND TODDLERS Caregivers Sarina Irby and Diamond Alexander with 6 children ages: 1-2 month old, 3-6 month olds, 1-8 month old, and 1-11 month old.
2 0 NO CHILDREN IN ATTENDANCE Jennifer Harris, Director and Felisa Knight, Operations Director with no children.
2 0 NO CHILDREN IN ATTENDANCE Julie Florez, cook and Juliette Castro, afternoon cook with no children.
1 0 NO CHILDREN IN ATTENDANCE Nicole Moore-Lee, front desk with no children in attendance.
1 9 PRESCHOOL Caregivers Sherrita Hurst with 9 children ages: 6-3 year olds, 2-4 year olds, and 1-5 year old.
1 14 PRESCHOOL Caregiver Cindy Fry with 14 children ages: 10-3 year olds, and 4-4 year olds.
1 10 PRESCHOOL Caregiver Cayla Browning with 10 children all 3 years old.
1 9 PRESCHOOL Caregiver Katie Byers with 9 children all 5 years old.
1 6 TWO YEAR OLDS Caregiver Lyndsey Painter with 6 children all 2 years old.
1 5 TWO YEAR OLDS Caregiver Lisa Mazeffee with 5 children all 2 years old.
1 4 TWO YEAR OLDS Caregiver Arlyn Peccia with 4 children all 2 years old.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date
2/7/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The ceilings located one bathroom and one preschool room was/were not in good condition as evidenced by stained ceiling tiles.
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
2/7/2022
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in all 8 infant/toddler rooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2 feet .
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Submit Documentation

Compliance Date
2/7/2022
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Lynsdey Painter needs .5 hours of training for 2021.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
Verification of safe sleep training was not documented and maintained as evidenced by safe sleep certificates observed for Amy Davis and Armiyiah Woods, but the training was not documented in OPEN.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date
2/7/2022
Violation
Verification of safe sleep training was not documented and maintained as evidenced by safe sleep training not documented in OPEN for Donna Durham, Erika Gross, Felisa Knight, and Rhonda Leapheart.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
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
Compliance
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