DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

MALDEN UNITED PENTECOSTAL CHURCH

002294780

(573) 276-2889

22439 STATE HIGHWAY J
MALDEN
MO  63863

MALDEN UNITED PENTECOSTAL CHURCH



 

MOORE, KIMBERLY ANN

mooreka07@yahoo.com

Incorporated

SARAH L THACKER

BIRTH - 13 YEARS

49

LICENSE EXEMPT PROGRAM

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

02/14/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2441233693


DocumentDocument-Date
SANITATION INSPECTION 01/04/2023
NOTICE OF PARENTAL RESPONSIBILITY 09/09/2022
FIRE/SAFETY INSPECTION 01/24/2023




Inspection determined facility to be in compliance with rules.
Open Violations: NA

 
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
Violation
 Provider Comments
Violation
TB reports on file were older than 24 months for Mallory Myers.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/13/2023
5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by the date and/or type of drill were not recorded.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) (B) states: A written record shall be kept of the dates and types of drills conducted.
Correction Required
Fire and tornado drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
2/8/2023
5 CSR 25-300.080 Sanitation Requirements
Compliance
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by 2 doors leading to an unapproved room, in the hallway between the girls bathroom and the 3 and 4 year old room, were not made inaccessible.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date
2/8/2023
Violation
The premises were not safe and suitable as evidenced by 1 electrical switch did not have a cover leaving exposed wires, this was located in the 2 year old bathroom.
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
Submit Documentation

Compliance Date
2/8/2023
Violation
The premises were not safe and suitable as evidenced by there were cords running in front of the handwashing sink to the outlet.
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
Submit Documentation

Compliance Date
2/8/2023
Violation
The premises were not safe and suitable as evidenced by there was 1 unsecured television located in the large play area, 1 unsecured television in the 2 year old room and 1 unsecured television in the 3 year old room.
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
Submit Documentation

Compliance Date
2/8/2023
Violation
Equipment in the outdoor play area, the plastic table, was not in good condition as evidenced by the bottom was broken.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

Correction Verification
Submit Documentation

Compliance Date
2/8/2023
Violation
Requirements for the crib mattress/playpen pad were not met as evidenced by a crib mattress or playpen pad was not in good condition as evidenced by 2 playpen pads in the infant/toddler room were bunched in the middle and no longer covered the bottom of the playpen properly.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (D) 2 states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen. The pad shall be in good condition, waterproof, clean and dry. Sheets and covers shall be changed when soiled or wet.
Correction Required
Crib mattress/playpen pad shall be sized properly, waterproof, in good condition, clean and dry.

Correction Verification
Submit Documentation

Compliance Date
2/8/2023
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 2 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
2/8/2023
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 3 child files did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
2/8/2023
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