DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

PROMISE PRESCHOOL AND CHILD DEVELOPMENT CENTER

000527317

(417) 883-6640

5701 S FARM ROAD 157
SPRINGFIELD
MO  65810-2702

SOUTH GATE BAPTIST CHURCH



 

HUFF, ANNE LAUREN

PROMISE@SOUTHGATE.ORG


BILLIE RUSSELL

BIRTH - 12 YEARS

57

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/11/2022

10:00 AM

11:50 AM

ANNOUNCED

ANNUAL

2428979371


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/11/2022
SANITATION INSPECTION 08/01/2022
FIRE/SAFETY INSPECTION 07/13/2022




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 2
Attendance at Time of Inspection
Total Staff 10
Total Children 52
StaffChildClass AgeNote
1 5 INFANTS AND TODDLERS Klaine Kuchler was with children 9 to 23 months old.
2 0 NO CHILDREN IN ATTENDANCE Additional staff present during inspection: Anne Huff and Tiffany Herman.
1 8 PRESCHOOL Lexi Eckman was with children 3 years old.
1 8 PRESCHOOL Holly Pruitt was with children 3/4 years old.
1 7 PRESCHOOL Le-Ann Kinyon was with children 3/4 years old.
2 15 SCHOOL AGE Mackinzie Funcannon and Ashley Swearengin was with children 5 to 8 years old. They were on a field trip.
1 5 TWO YEAR OLDS Alyssa Mayo was with children 2 years old.
1 4 TWO YEAR OLDS Sydney Meek was with children 2 years old.

Compliance List
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 the medical examination 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

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
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
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