DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CABOOL SECOND BAPTIST DAYCARE

002033338

(417) 962-3608

13475 INDUSTRIAL PARK
CABOOL
MO  65689-8504

CABOOL SECOND BAPTIST CHURCH

PO BOX 758
CABOOL
MO  65689-0758

POLM, MELINDA ANN

director.csbcd@gmail.com

Incorporated

ALLA GERASIMOVA

6 WEEKS - 13 YEARS

99

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/03/2023

9:35 AM

11:29 AM

ANNOUNCED

ANNUAL

2438277987


DocumentDocument-Date
SANITATION INSPECTION 11/29/2021
FIRE/SAFETY INSPECTION 12/07/2022
NOTICE OF PARENTAL RESPONSIBILITY 08/01/2022




Inspection determined facility to be in compliance with rules.
Open Violations: 2
Attendance at Time of Inspection
Total Staff 10
Total Children 28
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Tina Bealuieu and Alissa Clark with 8 children: 1 child 11 month old 7 children 1 years old
1 4 MIXED Holly Wiggins with 4 children: 1 child 2 years old 3 children 1 years old
1 7 MIXED Brandy Bruffett with 7 children: 6 children 2 years old 1 child 3 years old
5 0 NO CHILDREN IN ATTENDANCE Additional Staff in presence not counted in ratio: Melinda Polm the director Misty Fonseca a floater Page Sigman HR Debra Bratton Kitchen Chef Caitlin Trettin Kitchen Help
1 9 PRESCHOOL Misty Martin with 9 children: 8 children 3 years old 1 child 4 years old

 
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
Compliance
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
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
The facility is operated by a religious organization that recieves federal funds for providing child care and criminal background check results were not on file for Michael Warneke.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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.
Violation
 Provider Comments
Violation
Requirements for sanitation inspection were not met as evidenced by the inspection was not approved.
Licensing Rule Reference
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification
Submit Documentation

Compliance Date