DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CABOOL SECOND BAPTIST DAYCARE

002033338

(417) 962-3608

13475 INDUSTRIAL PARK
CABOOL
MO  65689-8504

CABOOL SECOND BAPTIST CHURCH

PO BOX 758
CABOOL
MO  65689-0758

POLM, MELINDA ANN

director.csbcd@gmail.com

Incorporated

KATINA D KATTICH

6 WEEKS - 13 YEARS

99

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/10/2024

12:11 PM

2:21 PM

ANNOUNCED

ANNUAL

2462127412


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/07/2022
SANITATION INSPECTION 01/04/2023
NOTICE OF PARENTAL RESPONSIBILITY 08/01/2023




Inspection determined facility to be in compliance with rules.
Open Violations: 1
Attendance at Time of Inspection
Total Staff 9
Total Children 25
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS 2 Staff present Jasime Martin and Alisssa Clark 6 infants
2 6 INFANTS AND TODDLERS Present was Tina Beaulieu and Bethany Miller with 1 under 2 and 5 two year olds
3 0 NO CHILDREN IN ATTENDANCE Present was Director Melinda Polm, ,(floating teacher) Misty Martin, (kitchen) Debra Bratton
1 5 PRESCHOOL Present was Kyanah Sigman with 5 two year olds
1 8 PRESCHOOL Present was (E) Paige Sigman with 8 three and four year olds

 
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
Compliance
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
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Christy Stillwell .
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

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 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
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