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.
Compliance Licensing 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

Compliance List
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
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