DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

PROMISE PRESCHOOL AND CHILD DEVELOPMENT CENTER

000527317

(417) 883-6640

5701 S FARM ROAD 157
SPRINGFIELD
MO  65810-2702

SOUTH GATE BAPTIST CHURCH



 

HUFF, ANNE LAUREN

PROMISE@SOUTHGATE.ORG


PENNY KREITZER

BIRTH - 12 YEARS

57

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/12/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2454464572


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/11/2022
SANITATION INSPECTION 05/16/2023
FIRE/SAFETY INSPECTION 07/26/2023




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: NA

Compliance List
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 caregivers as evidenced by the medical form did not contain all required information in that it did not state whether caregivers, Mark Johnson and Sara Stephens are physically and emotionally in good health and able to care for children or whether they have any limitations.
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
9/12/2023
Violation
TB reports on file were older than 24 months for Gloria Salas.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/13/2023
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
The equipment, a half-dome climber, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by dirt was visible in the fall zone where resilient surfacing should have been present.
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
8/29/2023
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