DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

ST JOHNS LUTHERAN CHILD CARE

000383400

(636) 456-2888

950 S HIGHWAY 47
WARRENTON
MO  63383

ST. JOHN'S LUTHERAN CHURCH, INC. WARRENTON, MISSOURI



 

KLAUSTERMEIER, KARIN MARIE

lrausch66@gmail.com


CYNTHIA D MADDOX

36 MONTHS - 12 YEARS

37

LICENSE EXEMPT PROGRAM

 
Inspection Information

05/15/2023

9:40 AM

9:57 AM

UNANNOUNCED

REINSPECTION

2447401091


DocumentDocument-Date
FIRE/SAFETY INSPECTION 05/09/2023
NOTICE OF PARENTAL RESPONSIBILITY 09/09/2022
SANITATION INSPECTION 02/08/2023




Inspection determined facility to be in compliance with rules.
Open Violations: 1
Attendance at Time of Inspection
Total Staff 3
Total Children 17
StaffChildClass AgeNote
3 17 MIXED Karin Klaustermeier, Olivia Tittel and Brandi Tittel were the staff with the children. Children ranged in age from 3 years to 5 years with six of the children being 5 years of age. All children were intermingled in the large room. NPR states ratio 1:7 for children 2 y to 4 y and 1:10 for children 5 y and up.

 
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Not Observed
5 CSR 25-300.040 Staffing Requirements
Not Observed
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports, including TB testing, were not on file for Madelyn Dothage, Olivia Tittel, as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.060 Responsibilities of Caregivers
Not Observed
5 CSR 25-300.070 Fire Safety Requirements
Not Observed
5 CSR 25-300.080 Sanitation Requirements
Not Observed
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Not Observed
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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.
Not Observed
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
 Provider Comments
Violation
Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of health and senior services regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility.
Correction Required
The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility.

Correction Verification
Return Inspection

Compliance Date
5/15/2023
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed