DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MID RIVERS DAY CARE

000237569

(636) 278-1163

349 MID RIVERS MALL DR
ST PETERS
MO  63376

MID RIVERS DAY CARE



 

SIEBEL, THERESA ANN

MIDRIVERSDAYCARE@YAHOO.COM

Incorporated

KATHERINE D SIMS

6 WEEKS - 12 YEARS

99

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/20/2022

8:10 AM

9:29 AM

UNANNOUNCED

COMPLIANCE MONITORING

2427402733


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/07/2021
ANNUAL DECLARATION 12/07/2021
LOCAL ZONING APPROVAL 12/07/2021
LOCAL BUILDING APPROVAL 01/29/1987
SAMPLE FORMS 01/29/1987
SAMPLE WEEKLY MENU 01/12/1987
POLICIES 01/12/1987
LINES OF ADMINISTRATIVE AUTHORITY 01/12/1987
JOB RESPONSIBILITIES 01/12/1987
DISCIPLINE POLICIES 01/12/1987
DIRECTOR'S QUALIFICATIONS 12/29/2003
DIAGRAM/OUTDOOR 01/12/1987
DIAGRAM/INDOOR 12/01/1993
DAILY SCHEDULE 01/12/1987
CHILD CARE PRACTICES 01/12/1987
ARTICLES OF INCORPORATION 01/12/1987
CERTIFICATE OF GOOD STANDING 08/30/2016
APPLICATION 11/18/2019
SANITATION INSPECTION 10/06/2021
FIRE/SAFETY INSPECTION 11/30/2021
EQUIPMENT LIST 12/07/2021
STAFF SHEET 11/18/2019




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 8
Total Children 34
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Caregivers, Emily Podhorsky and Lori Bridges present with six children, ages 6-months-old to 13-months-old
2 6 INFANTS AND TODDLERS Caregivers, Alexandria Hubbartt and Brittany Condict present with six children, all 1-year-old
2 15 MIXED Caregivers, Pat Haake and Renee Ponder present with fifteen children, ages 3-years-old to 6-years-old
1 0 NO CHILDREN IN ATTENDANCE Theresa Siebel, Director present with no children in attendance
1 7 TWO YEAR OLDS Caregiver, Melody Wombacher present with seven 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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Corrected on Site

Compliance Date
7/20/2022
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
The outdoor play equipment, the climber in the preschool space, from which a child might fall was more than six feet in height. The height was over 6ft.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (E) states: For facilities initially licensed after the effective date of these rules or for facilities installing new equipment, any part of the equipment from which children might fall shall not be more than six feet (6') in height.
Correction Required
The maximum height of any part of equipment, from which children might fall, shall not be more than six feet in height.

Correction Verification
Corrected on Site

Compliance Date
7/20/2022
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Emily Podhosky and Ember Mueller.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by Cadence Moss medical exam needs yes/no box completed.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
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
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