DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

BUM KIDS-MOTHER'S MORNING OUT

000748187

(417) 326-6542

629 N SPRINGFIELD AVE
BOLIVAR
MO  65613-1607

BOLIVAR UNITED METHODIST CHURCH

105 E DIVISION ST
BOLIVAR
MO  65613-1106

HOLT, NATALIE

mmobolivar@gmail.com


LAUREN R RAYWARNKE

6 WEEKS - 6 YEARS

20

LICENSE EXEMPT PROGRAM

 
Inspection Information

04/19/2022

9:45 AM

10:57 AM

ANNOUNCED

ANNUAL

2421971578


DocumentDocument-Date
FIRE/SAFETY INSPECTION 03/01/2022
SANITATION INSPECTION 02/22/2022
NOTICE OF PARENTAL RESPONSIBILITY 09/03/2021




Inspection determined facility to be in compliance with rules.
Open Violations: 1
Attendance at Time of Inspection
Total Staff 5
Total Children 13
StaffChildClass AgeNote
2 4 MIXED Courtney Mills and Lyndsay Papenfuhs with 5 children, two children age 1, one child age 2 and two children age 3. NPR 1:4 (under age 2), NPR 1:8 (2-4 Year's Old)
1 0 NO CHILDREN IN ATTENDANCE Natalie Holt in the main office with 0 children.
2 9 PRESCHOOL Mary Hagymasi and Tasha Crouch with 9 children, eight children age 4 and one child age 5. NPR 1:8 (2-4 Year's Old), NPR 1:8 (Age 5)

 
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
TB reports on file were older than 24 months for Lindsey Papenfuhs tb test expired 1-9-2021.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
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
Hazardous items as follows were accessible to children: a personal purse. The item(s) was/were located in a cabinet with a safety latch that was not latching properly.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
4/19/2022
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 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
4/19/2022
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.
Violation
 Provider Comments
Violation
A copy of the notice of parental responsibility was not filed annually during the month of August to the department of health and senior services.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 3. states: A copy of notice of parental responsibility, signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.
Correction Required
A copy of notice of parental responsibility shall be signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.

Correction Verification
Corrected on Site

Compliance Date
4/19/2022
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