DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GRACE LUTHERAN CHURCH, HOLTS SUMMIT MO

002351753

(573) 896-8824

618 HALIFAX RD
HOLTS SUMMIT
MO  65043

GRACE LUTHERAN CHURCH, HOLTS SUMMIT MO



 

DIENER, MICHAEL J

revmjdiener@gmail.com

Incorporated

JOY LYNN NICHOLS

24 MONTHS - 10 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

08/01/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2428036202


DocumentDocument-Date
ANNUAL DECLARATION 07/27/2021
LICENSING ORIENTATION 08/24/2012
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/27/2021
DIRECTOR'S QUALIFICATIONS 09/12/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/24/2012
JOB RESPONSIBILITIES 08/24/2012
CERTIFICATE OF GOOD STANDING 05/07/2011
ARTICLES OF INCORPORATION 08/24/2012
CHILD CARE PRACTICES 08/24/2012
DAILY SCHEDULE 08/24/2012
POLICIES 08/24/2012
DIAGRAM/OUTDOOR 07/15/2013
DIAGRAM/INDOOR 07/15/2013
SAMPLE WEEKLY MENU 01/13/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/07/2011
DISCIPLINE POLICIES 05/07/2011
LOCAL BUILDING APPROVAL 05/07/2011
LOCAL FIRE DEPARTMENT NOTIFICATION 05/07/2011
LOCAL ZONING APPROVAL 05/07/2011
SAMPLE FORMS 05/07/2011
SANITATION INSPECTION 05/04/2021
FIRE/SAFETY INSPECTION 06/14/2021
STAFF SHEET 08/05/2020
EQUIPMENT LIST 07/16/2021
APPLICATION 08/05/2020




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
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: Michael Diener needs 3 hours and Joy Krumm 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
8/1/2022
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 25-500.162 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