DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

UNLEASHING POTENTIAL

002535859

(314) 269-7502

1500 82ND BLVD
ST LOUIS
MO  63132-2606

UNLEASHING POTENTIAL

1000 N VANDEVENTER AVE 2ND FL
ST LOUIS
MO  63113-3435

JOHNSON, RACHELE CELESTE

ghampton@upstl.org

Incorporated

DENISE ELAYNE KOCH

5 YEARS - 12 YEARS

60

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

08/22/2022

10:10 AM

10:10 AM

UNANNOUNCED

SUPPLEMENTAL

2429631313


DocumentDocument-Date
ANNUAL DECLARATION 04/07/2021
EQUIPMENT LIST 04/07/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/27/2021
APPLICATION 03/25/2019
STAFF SHEET 04/02/2019
ARTICLES OF INCORPORATION 05/22/2015
CERTIFICATE OF GOOD STANDING 05/22/2015
CHILD CARE PRACTICES 06/18/2015
DAILY SCHEDULE 06/18/2015
DIAGRAM/INDOOR 06/18/2015
DIAGRAM/OUTDOOR 06/18/2015
DIRECTOR'S QUALIFICATIONS 06/18/2015
DISCIPLINE POLICIES 06/18/2015
JOB RESPONSIBILITIES 06/18/2015
LINES OF ADMINISTRATIVE AUTHORITY 05/22/2015
POLICIES 06/18/2015
SAMPLE FORMS 06/18/2015
SAMPLE WEEKLY MENU 06/18/2015
REGISTERING FICTITIOUS NAMES 05/20/2015




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 10
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Violation
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed