DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

VILLAGE LUTHERAN CHURCH PRESCHOOL

000471190

(314) 993-6743

9237 CLAYTON RD
ST LOUIS
MO  63124

EVANGELICAL LUTHERAN VILLAGE C



 

TANNEY, NICOLE ASHLEY

preschool@villagelutheranchurch.org

Incorporated

JOYCE E GREEN

24 MONTHS - 5 YEARS

52

LICENSE EXEMPT PROGRAM

 
Inspection Information

04/13/2022

10:06 AM

11:04 AM

ANNOUNCED

ANNUAL

2421585738


DocumentDocument-Date
FIRE/SAFETY INSPECTION 02/07/2022
SANITATION INSPECTION 02/15/2022
NOTICE OF PARENTAL RESPONSIBILITY 05/06/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 2
Attendance at Time of Inspection
Total Staff 6
Total Children 26
StaffChildClass AgeNote
1 7 MIXED Kristi Marriott, teacher, was present with seven children, ages 4 years to 5 years.
1 0 NO CHILDREN IN ATTENDANCE Nicole Tanney, director, was present with no children.
2 10 PRESCHOOL Berkley Rallo, teacher, and Dawn Haldeman, teacher, were present with ten children, ages 2 years to 3 years.
2 9 PRESCHOOL Kim Luango, teacher, and Blair Rallo, teacher, were present with nine children, ages 3 years to 4 years.

 
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
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 1. states: Physical assessment reports shall be completed not more than twelve (12) months before beginning work in the facility. The reports may be transferred to another facility for future employment.
Correction Required
Medical/TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The floors located Girl's restroom in the basement was/were not in good condition as evidenced by loose tile was observed in one of the restroom stalls .
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.100 Transportation and Field Trip Requirements
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
4/13/2022
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