MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
STRICTLY PEDIATRICS CENTER, INC.

Facility DVN
002689069

Phone
(314) 462-0920

Physical Address
611 W WOODBINE AVE
KIRKWOOD
MO 63122-5634

Owner
STRICTLY PEDIATRICS CENTER, INC.

Mailing Address

Provider/Director
MECKFESSEL, JULIA MARIE

E-mail Address
strictlypediatrics@sbcglobal.net

Incorporated
Incorporated

Child Care Specialist
TANISHA BELL

Age Range
6 WEEKS - 6 YEARS

Capacity
114

Facility Type
GROUP HOME AND CENTER

Limitations
24 CHILDREN UNDER 12 MONTHS; 48 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
03/21/2023

Arrival Time
10:50 AM

Departure Time
1:42 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2443527608

Document	Document-Date
APPLICATION	12/18/2018
DIAGRAM/INDOOR	01/30/2019
DIAGRAM/OUTDOOR	01/30/2019
DAILY SCHEDULE	01/30/2019
JOB RESPONSIBILITIES	01/30/2019
LINES OF ADMINISTRATIVE AUTHORITY	01/30/2019
CHILD CARE PRACTICES	01/30/2019
POLICIES	01/30/2019
DISCIPLINE POLICIES	01/30/2019
SAFE SLEEP POLICY	01/30/2019
SAMPLE WEEKLY MENU	01/30/2019
SAMPLE FORMS	01/30/2019
DIRECTOR'S QUALIFICATIONS	01/30/2019
ARTICLES OF INCORPORATION	01/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/30/2019
LOCAL BUILDING APPROVAL	01/30/2019
STAFF SHEET	02/25/2019
LOCAL ZONING APPROVAL	01/30/2019
FIRE/SAFETY INSPECTION	11/23/2021
SANITATION INSPECTION	02/07/2023
EQUIPMENT LIST	03/21/2023
CERTIFICATE OF GOOD STANDING	03/21/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/11/2022
ANNUAL DECLARATION	03/21/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Attendance at Time of Inspection

Total Staff 17

Total Children 84

Staff	Child	Class Age	Note
1	7	INFANTS AND TODDLERS	Peggy Pierce and Skylar Rotellini (Teachers) were present with seven children, 8-months-old-12-months-old.
2	8	INFANTS AND TODDLERS	Kathleen Stafford and Adrianne Bruckner (Teachers) were present with eight children, 15-months old- 19-months-old.
2	8	INFANTS AND TODDLERS	Maureen Gage and Mariko Gilkey (Teachers) were present with eight children, 19-months-old-23-months-old.
2	7	INFANTS AND TODDLERS	Angela Merkel and Katie Behr (Teachers) were present with seven children, 4-months-old-8-months-old.
3	0	NO CHILDREN IN ATTENDANCE	Janice Cataldi (Owner), Julia Meckfessel (Director), Carolyn Stevens (Cook) were present with no children in attendance.
2	19	PRESCHOOL	Alexis Lewis and Edita Nezirevic (Teachers) were present with nineteen children, 2-years-old-3-years-old. Six children were 2-years-old.
1	9	PRESCHOOL	Taylor Smith (Teacher) was present with nine children, 4-years-old-5-years-old.
2	17	PRESCHOOL	Maureen Guardia and Kristina Pate (Teachers) were present with seventeen children, 4-years-old-5-years-old.
2	9	TWO YEAR OLDS	Alexandria Fairbanks and Kristin Gilbers (Teachers) were present with nine children, 2-years-old.

Compliance List

5 CSR 25-500.032 Organization and Administration

Compliance

5 CSR 25-500.042 Licensing Process

Compliance

5 CSR 25-500.052 Annual Requirements

Violation

	Provider Comments
Violation Evidence of local building approval was not received. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required The facility shall submit evidence of local building/zoning approval as required. Correction Verification Corrected on Site Compliance Date 3/21/2023
Violation The equipment list was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required The facility shall submit an equipment list as required. Correction Verification Corrected on Site Compliance Date 3/21/2023
Violation The staff sheet was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required The facility shall submit a current staff sheet as required. Correction Verification Corrected on Site Compliance Date 3/21/2023
Violation The Annual Declaration was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required The facility shall submit the Annual Declaration as required. Correction Verification Corrected on Site Compliance Date 3/21/2023
Violation The annual fire safety inspection was not approved. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification Submit Documentation Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Compliance

5 CSR 25-500.087 Fire Safety

Compliance

5 CSR 25-500.090 Disaster and Emergency Preparedness

Compliance

5 CSR 25-500.092 Furniture, Equipment and Materials

Compliance

5 CSR 25-500.102 Personnel

Compliance

5 CSR 25-500.112 Staff/Child Ratios

Violation

	Provider Comments
Violation Staff/child ratio requirements were not met as evidenced by nineteen children children, ages 2-years-old-3-years-old, were cared for by two caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained. Correction Verification Return Inspection Compliance Date

5 CSR 25-500.122 Medical Examination Reports

Compliance

5 CSR 25-500.132 Admission Policies and Procedures

Compliance

5 CSR 25-500.142 Nighttime Care

Compliance

5 CSR 25-500.162 Overlap Care of Children

Compliance

5 CSR 25-500.172 Emergency School Closings

Compliance

5 CSR 25-500.182 Child Care Program

Compliance

5 CSR 25-500.192 Health Care

Compliance

5 CSR 25-500.202 Nutrition and Food Service

Compliance

5 CSR 25-500.212 Transportation and Field Trips

Compliance

5 CSR 25-500.222 Records and Reports

Compliance

5 CSR 25-600.020 General Requirements

Compliance

5 CSR 25-600.040 Background Screening Findings

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 — report made to another state, when. —

Compliance

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Compliance