DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STRICTLY PEDIATRICS CENTER, INC.

002689069

(314) 462-0920

611 W WOODBINE AVE
KIRKWOOD
MO  63122-5634

STRICTLY PEDIATRICS CENTER, INC.



 

MECKFESSEL, JULIA MARIE

strictlypediatrics@sbcglobal.net

Incorporated

CHRISTINA BRUCE

6 WEEKS - 6 YEARS

114

GROUP HOME AND CENTER

24 CHILDREN UNDER 12 MONTHS; 48 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/05/2024

9:00 AM

10:45 AM

UNANNOUNCED

COMPLIANCE MONITORING

2466458102


DocumentDocument-Date
APPLICATION 12/18/2018
DIAGRAM/INDOOR 01/30/2019
DIAGRAM/OUTDOOR 01/30/2019
DAILY SCHEDULE 01/30/2019
JOB RESPONSIBILITIES 01/30/2019
LINES OF ADMINISTRATIVE AUTHORITY 01/30/2019
CHILD CARE PRACTICES 01/30/2019
POLICIES 01/30/2019
DISCIPLINE POLICIES 01/30/2019
SAFE SLEEP POLICY 01/30/2019
SAMPLE WEEKLY MENU 01/30/2019
SAMPLE FORMS 01/30/2019
DIRECTOR'S QUALIFICATIONS 01/30/2019
ARTICLES OF INCORPORATION 01/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/30/2019
LOCAL BUILDING APPROVAL 03/05/2024
STAFF SHEET 02/25/2019
LOCAL ZONING APPROVAL 01/30/2019
FIRE/SAFETY INSPECTION 12/27/2023
SANITATION INSPECTION 02/07/2023
EQUIPMENT LIST 02/22/2024
CERTIFICATE OF GOOD STANDING 03/21/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/22/2024
ANNUAL DECLARATION 02/22/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
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 18
Total Children 86
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Mariko Gilkey and Maureen Gage, teachers present with seven children, ages 20-months-old to 24-months-old.
2 6 INFANTS AND TODDLERS Tamara Ruzicka and Alexis Ziliak, teachers present with six children, ages 16-months-old to 20-months-old.
3 8 INFANTS AND TODDLERS Nataleigh Bird, Samantha Pugh, and Madeleine Danna, teachers present eight children, ages 15-months-old to 18-months-old.
1 4 INFANTS AND TODDLERS Anne Kaufmann, teacher present with four children, ages 6-months-old to 12-months-old.
1 3 INFANTS AND TODDLERS Angela Merckel, teacher, present with three children, ages 5-months-old to 7-months-old.
2 0 NO CHILDREN IN ATTENDANCE Carolyn Stevens, cook, and Julia Meckfessel, director, present with no children.
1 7 PRESCHOOL Edita Nezirevic, teacher present with seven children, ages 4-years-old to 5-years-old.
1 9 PRESCHOOL Kaytlin Doscher, teacher present with nine children, ages 4-years-old to 5-years-old.
1 9 PRESCHOOL Yuko Ito, teacher present with nine children, age 4-years-old.
2 18 PRESCHOOL Laura Bell and Sidney King, teachers present with eighteen children, ages 3-years-old to 4-years-old.
2 15 TWO YEAR OLDS Alexandria Fairbanks and Kristen Dahm, teachers present with fifteen children, age two-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 annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
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
Violation
 Provider Comments
Violation
Kaytlin Doscher, Kristin Gilbers, and Michaela Loos did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Nataleigh Bird needs 9.5 hours, Madeleine Danna needs 9 hours, and Anne Kaufmann needs 1 hour.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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
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
Not Observed
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Alexis Ziliak and Sidney King.
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

Violation
Criminal background check results were older than five (5) years for Janice Cataldi.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
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 210.115. 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