DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ST. JOHN'S EVANGELICAL LUTHERAN CHURCH OF HANNIBAL, MISSOURI

000354101

(573) 221-0615

1317 LYON
HANNIBAL
MO  63401

ST. JOHN'S EVANGELICAL LUTHERAN CHURCH OF HANNIBAL, MISSOURI



 

CONOYER, JOANNE

jconoyer@stjohnshannibal.org

Incorporated

BETHANY C DUCKWORTH

24 MONTHS - 12 YEARS

71

GROUP HOME AND CENTER

 
Inspection Information

02/17/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2418114688


DocumentDocument-Date
APPLICATION 10/11/2018
EQUIPMENT LIST 12/01/2021
STAFF SHEET 11/15/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/11/2016
ARTICLES OF INCORPORATION 09/12/1960
CHILD CARE PRACTICES 08/01/2011
DAILY SCHEDULE 11/12/1996
SAMPLE WEEKLY MENU 11/13/1990
DISCIPLINE POLICIES 08/01/2011
LINES OF ADMINISTRATIVE AUTHORITY 08/31/2007
JOB RESPONSIBILITIES 11/13/1990
POLICIES 08/01/2011
LLC ARTICLES OF ORGANIZATION 09/01/1990
CERTIFICATE OF GOOD STANDING 05/12/2020
DIAGRAM/INDOOR 07/27/2018
DIAGRAM/OUTDOOR 12/17/2008
DIRECTOR'S QUALIFICATIONS 10/02/2019
SANITATION INSPECTION 09/08/2021
FIRE/SAFETY INSPECTION 12/20/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/01/2021
ANNUAL DECLARATION 12/01/2021




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.

 
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
Violation
 Provider Comments
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Cindy Harrison needs .75 hours transferred to 2021.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.

Correction Verification
Submit Documentation

Compliance Date
1/31/2022
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Kayla Riley needs 2 hours.
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
1/31/2022
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
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Melissa Johns.
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
2/4/2022
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