DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

KINGDOM KIDS EARLY CHILDHOOD CENTER

002904941

(816) 297-2310

202 E MAIN ST
ADRIAN
MO  64720-9139

ADRIAN UNITED METHODIST CHURCH



 

UNDERWOOD, JACQUELINE E

jacque@adrianumc.com


JESSICA IBBOTSON

24 MONTHS - 6 YEARS

40

LICENSE EXEMPT PROGRAM

 
Inspection Information

08/08/2023

2:30 PM

4:58 PM

UNANNOUNCED

SUPPLEMENTAL

2452257570


DocumentDocument-Date
FIRE/SAFETY INSPECTION 10/04/2021
SANITATION INSPECTION 08/31/2022
NOTICE OF PARENTAL RESPONSIBILITY 04/19/2022




Inspection determined facility to be in compliance with rules.
Open Violations: 2
Attendance at Time of Inspection
Total Staff 8
Total Children 11
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Caregiver Angie Cook with zero children in attendance.
2 0 NO CHILDREN IN ATTENDANCE Director Jacqueline Underwood and Matt Sears with zero children in attendance.
1 2 PRESCHOOL Caregiver Madeline Coffelt with two children, ages 4-years-old to 5-years-old.
1 2 PRESCHOOL Caregiver Cooper Sams with two children, aged 3-years-old.
1 4 PRESCHOOL Caregiver Nan Richmond with four children, ages 3-years-old to 4-years-old.
2 3 TWO YEAR OLDS Caregivers Lauren Sams and Marsha Rains with three children, aged 2-years-old.

 
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): Cooper Sams.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (7) states: A check of the Family Care Safety Registry shall be conducted for all child care staff members of nursery schools every two (2) years.
Correction Required
Required requests/results of background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.050 Health Requirements
Not Observed
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
Violation
 Provider Comments
Violation
Lighting requirements for rooms used by children were not met as evidenced by the lighting was inadequate.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (A) states: Adequate artificial or natural lighting throughout each room used for child care.
Correction Required
Rooms used by children shall be equipped with required lighting.

Correction Verification
Corrected on Site

Compliance Date
8/8/2023
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Not Observed
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Cooper Sams.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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.
Not Observed
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