DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BLOOM AFTER SCHOOL AT JOHN GLENN

002903246

(816) 279-4533

12401 COUNTY ROAD 438
COUNTRY CLUB
MO  64505-3719

BLOOM FINE ARTS PRESCHOOL LLC

801 STATE RTE E
SAVANNAH
MO  64485-9427

GIRTZ-TALLIE, ANGELIQUE

mary@inspirationsdancecenter.com


PENNY SNODGRASS

5 YEARS - 13 YEARS

32

SCHOOL AGE

 
Inspection Information

11/21/2022

2:45 PM

4:05 PM

UNANNOUNCED

COMPLIANCE MONITORING

2435864684


DocumentDocument-Date
APPLICATION 07/22/2021
REGISTERING FICTITIOUS NAMES 07/21/2021
CERTIFICATE OF GOOD STANDING 07/21/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/21/2022
SAMPLE WEEKLY MENU 07/21/2021
LLC ARTICLES OF ORGANIZATION 07/21/2021
LLC OPERATING AGREEMENT 07/21/2021
DAILY SCHEDULE 08/03/2021
CHILD CARE PRACTICES 08/06/2021
DISCIPLINE POLICIES 08/06/2021
POLICIES 05/24/2022
EQUIPMENT LIST 10/21/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/09/2021
LICENSING ORIENTATION 07/15/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/13/2021
DIRECTOR'S QUALIFICATIONS 09/02/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 09/24/2021
ANNUAL DECLARATION 10/21/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 2
Total Children 17
StaffChildClass AgeNote
2 17 SCHOOL AGE kindergarten through 5th grade. Staff: WG and SS

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for board president MI within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Corrected on Site

Compliance Date
11/21/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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
Violation
 Provider Comments
Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: AT.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department.

Correction Verification
Corrected on Site

Compliance Date
11/21/2022
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for AT 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 25-500.172 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