DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

THE NEST AT CENTRAL REFORM CONGREGATION

002650073

(314) 361-3919

5020 WATERMAN BLVD
ST LOUIS
MO  63108-1102

CENTRAL REFORM CONGREGATION



 

TOLBERT, KIMBERLY ALANDA

thenest@centralreform.org

Incorporated

NANCY SMITH

BIRTH - 5 YEARS

36

LICENSE EXEMPT PROGRAM

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/20/2023

9:26 AM

11:51 AM

ANNOUNCED

ANNUAL

2453380591


DocumentDocument-Date
FIRE/SAFETY INSPECTION 05/17/2023
NOTICE OF PARENTAL RESPONSIBILITY 08/19/2022
SANITATION INSPECTION 04/21/2023




Inspection determined facility to be in compliance with rules.
Open Violations: 2
Attendance at Time of Inspection
Total Staff 12
Total Children 23
StaffChildClass AgeNote
3 6 INFANTS AND TODDLERS Caregivers- Shayla Pate, Tashena Huff and Nylia Idhen with Six children ages 15-months-old to 27-months-old
3 3 INFANTS AND TODDLERS Caregivers- Alisa Lovan, Emily Bowman and Kelly Koffenberg with Three children ages 10-months-old to 14-months-old
2 9 MIXED Caregivers-Merav Portman and Teona Keys with Nine children ages 3-years-old to 5-years-old
2 0 NO CHILDREN IN ATTENDANCE Director- Kimberly Tolbert and Executive Director -Sonya Vann
2 5 PRESCHOOL Caregivers-Patricia Curtis and Bailee Rousso with Five children ages 2-years-old to 3-years-old

 
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
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports, including TB testing, were not on file for Nylia Idhen, Alisa Lovan, Bailee Rousso and Kelly Kaufenberg 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
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
The equipment, a swing and a bridge, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there is no resilient material present to impact a fall.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification
Submit Documentation

Compliance Date

Violation
Emergency numbers for the police, fire department, poison control, and ambulance were not posted.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone.
Correction Required
Emergency numbers shall be posted near the telephone.

Correction Verification
Corrected on Site

Compliance Date
7/20/2023
Violation
The premises were not safe and suitable as evidenced by the knob on the diapering table in the preschool space is detached.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
7/20/2023
Violation
Hazardous items as follows were accessible to children: diapering topical creams and ointments. The item(s) was/were located with in reach on the diapering table and in an unlocked cabinet.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
7/20/2023
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