DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Back

Facility Information

ST. LOUIS CHILDREN'S HOSPITAL

000168492

(314) 454-4700

321 S NEWSTEAD AVE
ST LOUIS
MO  63110-1189

ST. LOUIS CHILDREN'S HOSPITAL



 

ZITKO, MARGARET A

margaret.zitko@bjc.org

Incorporated

JOYCE E GREEN

6 WEEKS - 10 YEARS

235

GROUP HOME AND CENTER

51 CHILDREN UNDER 12 MONTHS; 80 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/24/2022

10:25 AM

12:33 PM

UNANNOUNCED

COMPLIANCE MONITORING

2433797964


DocumentDocument-Date
ARTICLES OF INCORPORATION 02/27/2015
DAILY SCHEDULE 05/22/1995
DIAGRAM/INDOOR 05/22/1995
DIAGRAM/OUTDOOR 05/22/1995
DISCIPLINE POLICIES 05/22/1995
JOB RESPONSIBILITIES 05/22/1995
SAMPLE FORMS 05/22/1995
SAMPLE WEEKLY MENU 05/22/1995
CHILD CARE PRACTICES 05/22/1995
POLICIES 05/22/1995
APPLICATION 01/09/2019
STAFF SHEET 03/15/2019
CERTIFICATE OF GOOD STANDING 03/15/2019
EQUIPMENT LIST 03/30/2022
SANITATION INSPECTION 03/30/2022
FIRE/SAFETY INSPECTION 02/23/2022
ANNUAL DECLARATION 03/30/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/30/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 31
Total Children 100
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS DR, teacher, and DD, teacher, were present with five children, aged 14-weeks old to 9-months old.
2 4 INFANTS AND TODDLERS HC, teacher, and RH, teacher, were present with four children, aged 13-months old to 16-months old.
2 3 INFANTS AND TODDLERS LH, teacher, and TP, teacher, were present with three children, aged 7-months old to 10-months old.
1 3 INFANTS AND TODDLERS RRD, teacher, was present with three children, aged 15-months old to 18-months old.
2 7 INFANTS AND TODDLERS TLS, teacher, and MA, teacher, were present with seven children, aged 3-months old to 9-months old.
2 6 INFANTS AND TODDLERS PB, teacher, and CE, teacher, were present with six children, aged 15-months old to 19-month old.
2 3 INFANTS AND TODDLERS FI, teacher, and CR, teacher, were present with three children, aged 4-months old to 10-months old.
2 5 INFANTS AND TODDLERS RJ, teacher, and JD, teacher, were present with five children, aged 13-months old to 16-months old.
3 0 NO CHILDREN IN ATTENDANCE MZ, director, BC, preschool specialist, and RC, administrative assistant were present with no children.
2 11 PRESCHOOL KL, teacher, and AH, teacher, were present with eleven children, aged 2-years old to 3-years old.
2 12 PRESCHOOL LR, teacher, and CV, teacher, were present with twelve children, aged 3-years old to 4-years old.
2 12 PRESCHOOL LT, teacher, and AR, teacher, were present with twelve children, aged 4-years old to 5-years old.
2 12 PRESCHOOL BB, teacher, and KW, teacher, were present with twelve children, aged 3-years old to 4-years old.
3 8 TWO YEAR OLDS AM, teacher, RS, teacher, and JG, teacher, were present with eight children, all aged 2-years old.
2 9 TWO YEAR OLDS PB, teacher, and SY, teacher, were present with nine children, all aged 2-years old.

 
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
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 JG as evidenced by the medical examination was not signed by the required medical source.
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
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: KW.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
Violation
Medical examination report(s) was/were not on file for KW 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
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