DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SHALOM CHRISTIAN ACADEMY & DAYCARE

001802053

(573) 256-4824

312 RIDGEWAY AVE
COLUMBIA
MO  65203-2624

SHALOM CHRISTIAN ACADEMY & DAYCARE

PO BOX 901
COLUMBIA
MO  65205-0901

FONVILLE, ELAINE

Sca6903@mediacombb.net

Incorporated

JOY LYNN NICHOLS

BIRTH - 12 YEARS

48

GROUP HOME AND CENTER

18 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/25/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2429828095


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 02/02/2016
JOB RESPONSIBILITIES 02/02/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 02/02/2016
LOCAL ZONING APPROVAL 02/02/2016
LOCAL BUILDING APPROVAL 02/02/2016
SAMPLE WEEKLY MENU 02/02/2016
DISCIPLINE POLICIES 02/02/2016
ARTICLES OF INCORPORATION 01/11/2016
CERTIFICATE OF GOOD STANDING 01/11/2016
STAFF SHEET 01/11/2016
LINES OF ADMINISTRATIVE AUTHORITY 01/11/2016
DAILY SCHEDULE 02/02/2016
DIAGRAM/INDOOR 07/06/2015
DIAGRAM/OUTDOOR 07/06/2015
CHILD CARE PRACTICES 02/03/2016
POLICIES 02/03/2016
APPLICATION 11/17/2019
EQUIPMENT LIST 01/31/2022
FIRE/SAFETY INSPECTION 01/25/2022
SANITATION INSPECTION 12/09/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/31/2022
ANNUAL DECLARATION 01/31/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:30PM   4:30PM   4/28/2022



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
Violation
 Provider Comments
Violation
The walls located in the I/T room, preschool room, and school age room was/were not in good condition as evidenced by the walls have chipping paint.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
7/18/2022
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
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Marilyn Cook as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/18/2022
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
Violation
 Provider Comments
Violation
Transportation policy and Supervision policy, requested by the department, was/were not submitted.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (11) states: Records and reports shall be submitted to the department as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date
7/25/2022
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