DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MERCY CO-WORKER CHILDREN'S CENTER

002491281

(314) 543-5995

12727 OLD TESSON RD
ST LOUIS
MO  63128-4813

MERCY HOSPITAL SOUTH



 

VIVIANO, STEPHANIE LYNN

Stephanie.Viviano@Mercy.net

Incorporated

JULIE PLEIMANN

6 WEEKS - 9 YEARS

96

GROUP HOME AND CENTER

40 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

01/03/2024

9:00 AM

11:40 AM

UNANNOUNCED

COMPLIANCE MONITORING

2461741400


DocumentDocument-Date
DIAGRAM/INDOOR 10/28/2014
SAMPLE WEEKLY MENU 10/22/2014
DAILY SCHEDULE 10/21/2014
POLICIES 10/21/2014
DIAGRAM/OUTDOOR 12/29/2014
JOB RESPONSIBILITIES 12/29/2014
LOCAL BUILDING APPROVAL 12/23/2014
ARTICLES OF INCORPORATION 01/07/2015
CERTIFICATE OF GOOD STANDING 12/27/2023
CHILD CARE PRACTICES 10/21/2014
DISCIPLINE POLICIES 10/21/2014
DIRECTOR'S QUALIFICATIONS 11/08/2017
REGISTERING FICTITIOUS NAMES 12/27/2023
APPLICATION 10/31/2018
SAFE SLEEP POLICY 11/16/2018
LINES OF ADMINISTRATIVE AUTHORITY 11/16/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 11/28/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/07/2019
EQUIPMENT LIST 12/15/2023
FIRE/SAFETY INSPECTION 10/19/2023
ANNUAL DECLARATION 12/15/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/15/2023
SANITATION INSPECTION 11/16/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 4
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 15
Total Children 55
StaffChildClass AgeNote
3 8 INFANTS AND TODDLERS Teachers Lisa Kempf, Kathleen Graves and Kelly Santiago were present with eight children who were 3-months-old through 11-months-old.
3 7 INFANTS AND TODDLERS Teachers Sarah Fuchs, Carolyn Farrow and Nicole Powell were present with seven children who were 12-months-old through 23-months-old.
1 4 INFANTS AND TODDLERS Teacher Kelly Stafford was present with four children who were 18-months-old through 23-months-old.
3 0 NO CHILDREN IN ATTENDANCE Director Stephanie Viviano, Supervisor Linda Pagano, and cook Deborah Jones were present with no children in attendance.
2 20 PRESCHOOL Teachers Marissa Chirco and Stacy Loeffelman were present with twenty children who were 3-years-old through 5-years-old.
3 16 PRESCHOOL Teachers Julie Loveless, Lizzi Grass, and Lindsay Schinsky were present with sixteen children who were 2-years-old through 3-years-old, including fourteen who were 2-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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Deborah Jones and Amber Schmidt 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

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: two large bottles of hand sanitizer . The item(s) was/were located in a unlocked cabinet in the Blue Classroom (2-years-old).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
1/3/2024
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the openings measured 9 inches by 12 inches. This was located in the back right hand corner of the infant/toddler play space.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the emergency plan was not located in a preschool classroom, the Rainbow Classroom.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
1/3/2024
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Lindsay Schinsky.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a child care program.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (B) states: The examination report shall determine if a child's medical history and current state of health is satisfactory participation in a child care program.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
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
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