DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KIRKWOOD R-VII SCHOOL DISTRICT

000415161

(314) 213-6136

100 N SAPPINGTON RD
ST LOUIS
MO  63122

KIRKWOOD R-VII SCHOOL DISTRICT



 

ROSE, AMANDA LYNETTE

Mandy.rose@kirkwoodschools.org

Incorporated

KATHERINE D SIMS

24 MONTHS - 6 YEARS

399

GROUP HOME AND CENTER

 
Inspection Information

05/18/2022

10:15 AM

12:24 PM

UNANNOUNCED

COMPLIANCE MONITORING

2423854017


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/01/2022
ANNUAL DECLARATION 02/01/2022
SAMPLE WEEKLY MENU 08/02/1991
SAMPLE FORMS 08/02/1991
REGISTERING FICTITIOUS NAMES 02/08/2012
POLICIES 08/02/1991
LOCAL ZONING APPROVAL 08/02/1991
LOCAL FIRE DEPARTMENT NOTIFICATION 08/02/1991
LOCAL BUILDING APPROVAL 08/02/1991
LINES OF ADMINISTRATIVE AUTHORITY 08/02/1991
JOB RESPONSIBILITIES 08/02/1991
DISCIPLINE POLICIES 08/02/1991
DIRECTOR'S QUALIFICATIONS 04/28/2008
DIAGRAM/OUTDOOR 08/02/1991
DIAGRAM/INDOOR 08/02/1991
DAILY SCHEDULE 08/02/1991
CHILD CARE PRACTICES 08/02/1991
ARTICLES OF INCORPORATION 08/02/1991
CERTIFICATE OF GOOD STANDING 02/10/2014
SANITATION INSPECTION 04/07/2022
FIRE/SAFETY INSPECTION 02/01/2022
APPLICATION 12/20/2019
EQUIPMENT LIST 02/01/2022
STAFF SHEET 03/05/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 40
Total Children 171
StaffChildClass AgeNote
3 16 MIXED Jeanne Noriega, Kendra Mueller, and Amy Wauber present with sixteen children, ages 2-years-old to 3-years-old
3 15 MIXED Jenny Moeser, Carrie Smith, and Helen Doran present with fifteen children, ages 2-years-old to 3-years-old
2 16 MIXED Maria Crutcher and Amna Alrashid present with sixteen children, ages 2-years-old to 3-years-old
15 0 NO CHILDREN IN ATTENDANCE Patrice Gouy, Jill Beaumont, Leslie Lahey, Jennifer Baynham, Sue McGhee, Maggie Nauckem Julie Reimer, Patty Brennan, Melinda Heaton, Courtney Aranda, Nicole Timlin, Michelle Faust, Marsha Harper, Kelly Righi, Amanda Rose present with no children in attendance
5 23 PRESCHOOL Jacqueline Bauer, Jessica Misuraca, Monica Ealy, Shari Max, and Laura Cochran present with twenty three children, ages 4-years-old to 5-years-old
3 24 PRESCHOOL Mitali Sarkar, Susan Tiffany, and Melissa Hoyer present with twenty four children, ages 4-years-old to 5-years-old
2 19 PRESCHOOL Samantha Fiock and Jeannine O'Rourke present with nineteen children, ages 3-years-old to 4-years-old
2 17 PRESCHOOL Sarah Johnson and Lisa Whitmire present with seventeen children, ages 3-years-old to 4-years-old
3 21 PRESCHOOL Elly Bremer, Christina Russell, and Lina Galibert present with twenty one children, ages 4-years-old to 5-years-old
2 20 PRESCHOOL Kayla Mahoney and Emily Schiller present with twenty children, ages 3-years-old to 4-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
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 facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Jennifer Moritz .
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

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
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
Violation
 Provider Comments
Violation
4 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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