DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GRACE LUTHERAN CHURCH, HOLTS SUMMIT MO

002351753

(573) 896-8824

618 HALIFAX RD
HOLTS SUMMIT
MO  65043

GRACE LUTHERAN CHURCH, HOLTS SUMMIT MO



 

DIENER, MICHAEL J

revmjdiener@gmail.com

Incorporated

JOY LYNN NICHOLS

24 MONTHS - 10 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

02/02/2024

9:52 AM

9:52 AM

UNANNOUNCED

SUPPLEMENTAL

2463535328


DocumentDocument-Date
SANITATION INSPECTION 06/20/2023
FIRE/SAFETY INSPECTION 05/24/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/01/2023
EQUIPMENT LIST 08/01/2023
ANNUAL DECLARATION 08/01/2023
LICENSING ORIENTATION 08/24/2012
DIRECTOR'S QUALIFICATIONS 09/12/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/24/2012
JOB RESPONSIBILITIES 08/24/2012
CERTIFICATE OF GOOD STANDING 05/07/2011
ARTICLES OF INCORPORATION 08/24/2012
CHILD CARE PRACTICES 08/24/2012
DAILY SCHEDULE 08/24/2012
POLICIES 08/24/2012
DIAGRAM/OUTDOOR 07/15/2013
DIAGRAM/INDOOR 07/15/2013
SAMPLE WEEKLY MENU 01/13/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/07/2011
DISCIPLINE POLICIES 05/07/2011
LOCAL BUILDING APPROVAL 05/07/2011
LOCAL FIRE DEPARTMENT NOTIFICATION 05/07/2011
LOCAL ZONING APPROVAL 05/07/2011
SAMPLE FORMS 05/07/2011
STAFF SHEET 08/05/2020
APPLICATION 08/05/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Violation
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed