DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

UNLEASHING POTENTIAL

002947753

(314) 831-4633

955 DERHAKE RD
FLORISSANT
MO  63033-5931

UNLEASHING POTENTIAL

1000 N VANDEVENTER AVE STE 2
ST LOUIS
MO  63113-3460

CAMPBELL, YOLANDA J

ghampton@upstl.org

Incorporated

VIKTORIA ZABARA

5 YEARS - 12 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/18/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2456857163


DocumentDocument-Date
ANNUAL DECLARATION 08/29/2023
APPLICATION 04/13/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 04/13/2022
DAILY SCHEDULE 07/28/2022
CHILD CARE PRACTICES 07/28/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/26/2023
EQUIPMENT LIST 06/26/2023
ARTICLES OF INCORPORATION 08/17/2022
CERTIFICATE OF INCORPORATION 08/17/2022
DIRECTOR'S QUALIFICATIONS 08/08/2022
CERTIFICATE OF GOOD STANDING 08/07/2023
LINES OF ADMINISTRATIVE AUTHORITY 07/28/2022
POLICIES 07/28/2022
DIRECTOR'S JOB RESPONSIBILITIES 07/28/2022
DISCIPLINE POLICIES 07/28/2022




Inspection determined facility to be in compliance with 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.

 
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 Family Care Safety Registry check was not conducted for Janice Lotts 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
9/29/2023
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
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
Violation
 Provider Comments
Violation
Records were not available for inspection by the department upon request as evidenced by the director did not have a file on site. Teacher Janice Lotts also did not have a file on site.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date
10/5/2023
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Zanetta Peterson, Janice Lotts, Niesha Nelson.
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
10/18/2023
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