DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

SAMUEL CHURCH PREKINDERGARTEN SCHOOL

000414804

(314) 721-5437

320 N FORSYTH BLVD
CLAYTON
MO  63105-3618

SAMUEL UNITED CHURCH OF CHRIST



 

STRAUSS, JANE

samuelpreschool@me.com

Incorporated

JULIE PLEIMANN

24 MONTHS - 5 YEARS

63

LICENSE EXEMPT PROGRAM

 
Inspection Information

11/14/2023

9:15 AM

11:21 AM

ANNOUNCED

ANNUAL

2458715431


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/10/2023
FIRE/SAFETY INSPECTION 11/13/2023
SANITATION INSPECTION 09/28/2023




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 2
Attendance at Time of Inspection
Total Staff 5
Total Children 24
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Director Jane Strauss was present with no children in attendance.
2 11 PRESCHOOL Teachers Cate Rousseau and Jillian Coates present with eleven (11) children who were two (2) - three (3) years-old including eight (8) students who were two (2) years old.
2 13 PRESCHOOL Teachers Becky Immer and Kim Smith present with thirteen (13) children who were four (4) - five (5) years-old.

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
Requirements for handwashing were not met as evidenced by the handwashing sink in a 3-4 year old classroom was not functional due to a broken drain.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (B) states: Caregivers shall use proper hand washing techniques with soap and warm, running water after toileting, after assisting a child with toileting, after diapering a child, and at other times as needed. Good hygiene practices shall be followed during food preparation. These practices include, but are not limited to, washing hands properly after smoking, eating, drinking, using the restroom, after touching raw food products and before preparing and serving food. Hands shall be dried with single-service towels. Caregivers shall teach and see that children wash their hands at appropriate times: before eating, after toileting and as needed when hands are soiled.
Correction Required
Staff and children shall wash hands as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports, including TB testing, were not on file for Mary Theresa Edwards as evidenced by the medical examination was not signed by the required medical source.
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
Violation
 Provider Comments
Violation
The facility's evacuation/emergency plan is not posted.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.
Correction Required
Evacuation/emergency plan must be posted/complete as required.

Correction Verification
Corrected on Site

Compliance Date
11/14/2023
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 slide, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by the black lining was exposed under the slide causing a tripping hazard..
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
Corrected on Site

Compliance Date
11/14/2023
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