DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

HOLY CROSS LUTHERAN CHURCH OF KANSAS CITY

000186383

(816) 452-9113

2003 NE ENGLEWOOD RD
KANSAS CITY
MO  64118

HOLY CROSS LUTHERAN CHURCH OF KANSAS CITY



 

PURL, CHRISTINE DAWN

ecc@holycrosskc.org

Incorporated

BIONICA D SMITHJACKSON

6 WEEKS - 12 YEARS

99

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/20/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2445736740


DocumentDocument-Date
POLICIES 06/17/1985
LOCAL ZONING APPROVAL 10/21/1991
LOCAL BUILDING APPROVAL 10/21/1991
LINES OF ADMINISTRATIVE AUTHORITY 06/28/1993
JOB RESPONSIBILITIES 06/28/1993
DIRECTOR'S QUALIFICATIONS 06/19/2007
DIAGRAM/OUTDOOR 09/20/2010
DIAGRAM/INDOOR 01/19/2010
DAILY SCHEDULE 06/17/1985
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/01/2018
SAFE SLEEP POLICY 05/01/2018
SAMPLE FORMS 06/05/1985
APPLICATION 03/04/2019
STAFF SHEET 05/06/2019
SAMPLE WEEKLY MENU 05/06/2019
CHILD CARE PRACTICES 07/12/2021
DISCIPLINE POLICIES 07/12/2021
ANNUAL DECLARATION 06/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/13/2022
EQUIPMENT LIST 06/13/2022
FIRE/SAFETY INSPECTION 04/13/2022
CERTIFICATE OF GOOD STANDING 06/13/2022
SANITATION INSPECTION 07/11/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Submit Documentation

Compliance Date
4/17/2023
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant room .
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
4/17/2023
Violation
The walls located Crusaders, Preschool room, Lions was/were not in good condition as evidenced by sticky residue and chipping paint.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/20/2023
Violation
The ceilings located all rooms was/were not clean as evidenced by dusty vents.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/17/2023
Violation
Hazardous items as follows were accessible to children: shaving cream, Lysol spray, Clorox wipes, Starch. The item(s) was/were located unlocked cabinets.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date
4/17/2023
Violation
Children were not restricted to approved space as evidenced by staff office not locked.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) 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
4/17/2023
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
Violation
 Provider Comments
Violation
Furniture/equipment, shelves/cubbies, in lambs, whales, crusaders, and eagles was not in good condition as evidenced by sticky residue.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date
4/17/2023
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
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