DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

PEACE TABERNACLE DAYCARE

000570430

(636) 789-3668

11096 HIGHWAY 21
HILLSBORO
MO  63050

PEACE TABERNACLE DAYCARE



 

MITCHELL, AMANDA ELLEN

JALYNNEANDERSON@HOTMAIL.COM

Incorporated

BRITTANY HECHT

24 MONTHS - 12 YEARS

49

LICENSE EXEMPT PROGRAM

 
Inspection Information

11/01/2022

9:10 AM

9:47 AM

UNANNOUNCED

REINSPECTION

2434491986


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 10/24/2022
FIRE/SAFETY INSPECTION 08/22/2022
SANITATION INSPECTION 06/16/2022




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: NA
Attendance at Time of Inspection
Total Staff 3
Total Children 16
StaffChildClass AgeNote
1 7 MIXED AM, Director 3 - 2 Year Olds 4 - 4 & 5 Year Olds
1 4 PRESCHOOL ML, Caregiver 4 - 4 Year Olds
1 5 SCHOOL AGE BJ, Caregiver 5 - 6-9 Year Olds

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
 Provider Comments
Violation
An approved Notice of Parental Responsibility was not on file for 4 child(ren).
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.
Correction Required
The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

Correction Verification
Return Inspection

Compliance Date
11/1/2022
5 CSR 25-300.040 Staffing Requirements
Not Observed
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports, including TB testing, were not on file for KF & HF 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
Return Inspection

Compliance Date
10/25/2022
5 CSR 25-300.060 Responsibilities of Caregivers
Not Observed
5 CSR 25-300.070 Fire Safety Requirements
Not Observed
5 CSR 25-300.080 Sanitation Requirements
Not Observed
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
The floors located in the upstairs bathroom was/were not in good condition as evidenced by 1 floor tile was loose.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date
11/1/2022
Violation
The floors located in the Gym Area was/were not in good condition as evidenced by several pieces of flooring was missing.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Return Inspection

Compliance Date
11/1/2022
Violation
The premises were not safe and suitable as evidenced by the finish on the deck used only during an Emergency Exit from the building is chipping/flaking off. The deck is also a little wobbly in the far corner & the bolt securing the deck to the building is broke off.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Return Inspection

Compliance Date
11/1/2022
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Not Observed
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Not Observed
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed