DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

THE TREEHOUSE AT ST. PAUL'S

001615774

(314) 894-0079

5508 TELEGRAPH RD
ST LOUIS
MO  63129-3558

ST. PAUL'S EVANGELICAL CHURCH



 

CONNERS, MICHAEL T

michael.conners@sp4u.org

Incorporated

MICHELLE (SHELLEY) TRUESDALE

6 WEEKS - 12 YEARS

161

LICENSE EXEMPT PROGRAM

40 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/01/2022

10:00 AM

11:47 AM

ANNOUNCED

ANNUAL

2430248162


DocumentDocument-Date
FIRE/SAFETY INSPECTION 07/19/2022
NOTICE OF PARENTAL RESPONSIBILITY 08/24/2022
SANITATION INSPECTION 08/10/2022




Inspection determined facility to be in compliance with rules.
Open Violations: 6
Attendance at Time of Inspection
Total Staff 21
Total Children 89
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Caregiver Lydia Domagalski with children ages 12 - 19-months-old
2 4 INFANTS AND TODDLERS Caregivers Alexis Jahnke & Delaney Britt with children ages 5 - 19-months-old
2 6 INFANTS AND TODDLERS Caregivers Sam Abeyta & Mary Noce with children ages 7 - 23-months-old
2 7 INFANTS AND TODDLERS Caregivers Amber Crowley & Maddie Beavers with children ages 10 - 19-months-old
2 3 INFANTS AND TODDLERS Caregivers Peyton Fenstermaker & Holly Davenport with children ages 3 - 19-months-old
1 0 NO CHILDREN IN ATTENDANCE Director Michael Conners present today
2 10 PRESCHOOL Caregivers Tina Barry & Jennifer Lafser with children ages 2 - 3-years-old
2 15 PRESCHOOL Caregivers Jessica Heide & Dawn Klemp with children ages 3 - 5-years-old
1 10 PRESCHOOL Caregiver Tonya Teske with children ages 3-years-old
2 15 PRESCHOOL Caregivers Paige Hanneken & Angela Husgen with children ages 4 - 5-years-old
2 11 TWO YEAR OLDS Caregivers Kyleigh Buchta & Stefanie Hill
2 6 TWO YEAR OLDS Caregivers Haley Carroll & Peggy Ruhland

 
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 Holly Davenport, Morgan Landis, & Nancy Blanchard 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 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following 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 Holly Davenport, Morgan Landis, Josie Hjorth, & Nancy Blanchard as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following 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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child's enrollment form was not signed.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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