DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

PENTECOSTAL LIFE CENTER OF MONETT MISSOURI

002964305

(417) 758-9712

1005 E SYCAMORE ST
MONETT
MO  65708-1238

PENTECOSTAL LIFE CENTER OF MONETT MISSOURI

7857 JASMINE DR
NEOSHO
MO  64850-6203


contact@plckidz.com

Incorporated

ANGEL DONSON

24 MONTHS - 12 YEARS

31

LICENSE EXEMPT PROGRAM

 
Inspection Information

04/18/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2442853159


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 07/19/2022
FIRE/SAFETY INSPECTION 03/06/2023
SANITATION INSPECTION 03/06/2023




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
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
Violation
 Provider Comments
Violation
Doors to the bathroom or stalls did not meet requirements as evidenced by there was a lock on the bathroom door.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (C) states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade.
Correction Required
Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.

Correction Verification
Submit Documentation

Compliance Date
3/8/2023
Violation
The facility had inadequate equipment for children being toilet trained as evidenced by there was not one potty chair junior commode or adapter seat for every four children being toilet trained.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (F) states: For infants, toddlers and children not toilet trained, one (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit. One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for ever four (4) children being toilet trained.
Correction Required
Bathrooms for infants and toddlers shall be equipped as required.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of there is a hole near the post of the deck which needs to be filled in.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of One board on the wooden fence closest to the front of the building was loose and had had sharp wooden edges at the top..
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of Zip ties on the chain link fence need to be trimmed to eliminate excess plastic.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of Original chain link fence had two large holes at the base of the fence.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of Wooden fence had exposed screws and nails .
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
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.
Violation
 Provider Comments
Violation
Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted.
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
3/9/2023
Violation
Requirements for fire safety inspection were not met as evidenced by the inspection has not been conducted.
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
3/9/2023