DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

UNLEASHING POTENTIAL

002840199

(314) 556-2227

6761 BARTMER AVE
ST LOUIS
MO  63130-2529

UNLEASHING POTENTIAL

1000 N VANDEVENTER AVE
ST LOUIS
MO  63113-3459

WARE, KIMYA TAMU

ghampton@upstl.org

Incorporated

CHARMEL WILLIAMS

5 YEARS - 12 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

11/30/2023

3:50 PM

4:57 PM

UNANNOUNCED

COMPLIANCE MONITORING

2459832198


DocumentDocument-Date
DIAGRAM/INDOOR 09/28/2020
DIAGRAM/OUTDOOR 09/28/2020
STAFF SHEET 11/30/2023
CERTIFICATE OF GOOD STANDING 09/28/2020
LINES OF ADMINISTRATIVE AUTHORITY 06/16/2020
JOB RESPONSIBILITIES 09/28/2020
DIRECTOR'S QUALIFICATIONS 09/29/2020
DAILY SCHEDULE 09/28/2020
SAMPLE WEEKLY MENU 09/28/2020
POLICIES 09/28/2020
CHILD CARE PRACTICES 09/28/2020
SAMPLE FORMS 09/28/2020
DISCIPLINE POLICIES 09/28/2020
REGISTERING FICTITIOUS NAMES 09/28/2020
APPLICATION 10/13/2020
EQUIPMENT LIST 10/04/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/20/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/20/2021
ANNUAL DECLARATION 09/25/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 3
Total Children 14
StaffChildClass AgeNote
3 14 SCHOOL AGE Morgan Joiner Site Manager, Mary Mason Program Assistant, and Tanya Lang Program Assistant were present with fourteen children, ages 5-years-old to 12-years-old

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
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
Violation
 Provider Comments
Violation
Medical examination report was not on file for Mary Mason 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 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.172 Emergency School Closings
Not Observed
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
Compliance
5 CSR 25-600.020 General Requirements
Compliance
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