DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

THE FLANCE EARLY LEARNING CENTER

002444724

(314) 881-0881

1908 OFALLON ST
ST LOUIS
MO  63106-3259

FLANCE MANAGEMENT, INC.



 

OMEROVIC, ISMETA

iomerovic@flancecenter.org

Incorporated

JOYCE E GREEN

6 WEEKS - 6 YEARS

154

GROUP HOME AND CENTER

32 CHILDREN UNDER 12 MONTHS; 64 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/07/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2452184311


DocumentDocument-Date
ANNUAL DECLARATION 04/25/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/25/2023
REGISTERING FICTITIOUS NAMES 04/28/2014
LINES OF ADMINISTRATIVE AUTHORITY 05/28/2014
DISCIPLINE POLICIES 05/14/2014
SAMPLE FORMS 05/14/2014
CHILD CARE PRACTICES 05/14/2014
DIRECTOR'S QUALIFICATIONS 05/14/2014
DAILY SCHEDULE 05/14/2014
SAMPLE WEEKLY MENU 05/14/2014
LOCAL BUILDING APPROVAL 04/24/2014
POLICIES 05/14/2014
LOCAL ZONING APPROVAL 04/24/2014
JOB RESPONSIBILITIES 05/14/2014
DIAGRAM/OUTDOOR 04/24/2014
DIAGRAM/INDOOR 04/24/2014
ARTICLES OF INCORPORATION 08/05/2013
CERTIFICATE OF GOOD STANDING 03/06/2018
SAFE SLEEP POLICY 03/16/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/22/2014
EQUIPMENT LIST 04/25/2023
APPLICATION 03/05/2020
STAFF SHEET 03/05/2020
FIRE/SAFETY INSPECTION 03/02/2023
SANITATION INSPECTION 01/18/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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
The staff sheet was not fully completed as evidenced by the names of staff members were missing from the form.
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
Submit Documentation

Compliance Date
7/10/2023
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
7/11/2023
Violation
The Family Care Safety Registry check was not conducted for Evan Fowler within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
7/10/2023
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
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Yolanda Rendon, Aaliyah Medina, Sabine Esters, Tirhas Girmay and Donesha Taylor 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 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/7/2023
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Tirhas Girmay, Sabine Esters, LeRoy Davis and Aaliyah Medina.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
7/10/2023
Violation
Medical examination report form did not contain all required information as evidenced by the form did not state the patient could work in a child care setting for Sierra Medina and Robin Johnson.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/11/2023
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