DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

ZION LUTHERAN ECE

001861310

(573) 769-3739

120 S SPRING ST
PALMYRA
MO  63461-1468

ZION LUTHERAN CHURCH OF PALMYRA, MISSOURI



 

SCHNEIDER, BRANDY

zionpreschoolpalmyra@gmail.com

Incorporated

BETHANY CARREL DUCKWORTH

36 MONTHS - 5 YEARS

49

LICENSE EXEMPT PROGRAM

 
Inspection Information

05/31/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2448248676


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/08/2022
SANITATION INSPECTION 02/03/2023
FIRE/SAFETY INSPECTION 02/22/2023




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
Violation
 Provider Comments
Violation
A caregiver has not reviewed the rules of this chapter as evidenced by Brandy Schneider stating that Amber Bounds had not read the rules along with no signed informational statement in Amber Bounds file showing that she has read the LE rules.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.
Correction Required
All caregivers shall review the rules as required.

Correction Verification
Submit Documentation

Compliance Date
5/31/2023
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Amber Bounds medical statement did not include the information that she may have contact with children in care away from their homes, be responsible for children's physical care and social development during day and/or nighttime hours, and may lift children. This information is on the departments form but was not on Ambers medical information/exam report.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/31/2023
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 stall.
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
5/31/2023
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.
Compliance