DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KINGSWOOD PROGRAMS

000243972

(417) 881-6363

2401 S LONE PINE AVE
SPRINGFIELD
MO  65804-3442

KINGSWAY UNITED METHODIST



 

RIDDLE, ALLISON

kingswoodprograms@kwumc.com


ANGEL DONSON

BIRTH - 6 YEARS

133

LICENSE EXEMPT PROGRAM

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/19/2023

9:15 AM

11:33 AM

ANNOUNCED

ANNUAL

2439447956


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/19/2022
SANITATION INSPECTION 01/03/2023
NOTICE OF PARENTAL RESPONSIBILITY 08/15/2022




Inspection determined facility to be in compliance with rules.
Open Violations: NA
Attendance at Time of Inspection
Total Staff 10
Total Children 34
StaffChildClass AgeNote
2 4 MIXED Caregivers Kristen Riedy and Melisa Corn with four children. Two children are age 2 years old and two children are age 3 years old.
2 6 MIXED Caregivers Mia Miller and Emma Anderson with six children. Two children are age 2 years old and three children are ages 18-23 months old.
1 6 PRESCHOOL Caregiver Mary Harris with six children ages 3-4 years old.
1 6 PRESCHOOL Caregiver Jewel Shelburn with six children ages 4-5 years old.
2 8 PRESCHOOL Caregivers Denise Bailey and Barbra Ruggeri with eight children ages 4-5 years old.
2 4 SCHOOL AGE Caregivers Kate Lengel and Rhonda Lewis with four children age 5 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
Violation
 Provider Comments
Violation
The facility's evacuation/emergency plan is not posted.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.
Correction Required
Evacuation/emergency plan must be posted/complete as required.

Correction Verification
Corrected on Site

Compliance Date
1/19/2023
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 14 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
1/19/2023
5 CSR 25-600.020 General Requirements
Compliance
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.
Compliance