DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
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Facility Information

TRINITY LUTHERAN CHURCH OF COLUMBIA, MISSOURI, INC.

000171522

(573) 445-1014

2201 W ROLLINS RD
COLUMBIA
MO  65203

TRINITY LUTHERAN CHURCH OF COLUMBIA, MISSOURI, INC.



 

KIEHNE, ANNETTE MARIE

TLCLC@trinity-LCMS.ORG

Incorporated

JOY LYNN NICHOLS

BIRTH - 12 YEARS

115

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/29/2024

10:15 AM

11:07 AM

UNANNOUNCED

COMPLIANCE MONITORING

2469381571


DocumentDocument-Date
FIRE/SAFETY INSPECTION 08/11/2023
SANITATION INSPECTION 07/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/09/2023
EQUIPMENT LIST 08/09/2023
ANNUAL DECLARATION 08/03/2023
DISCIPLINE POLICIES 08/20/1982
LINES OF ADMINISTRATIVE AUTHORITY 07/09/1987
JOB RESPONSIBILITIES 01/02/2003
CERTIFICATE OF GOOD STANDING 06/26/2012
LLC ARTICLES OF ORGANIZATION 07/09/1987
CHILD CARE PRACTICES 07/09/1998
SAMPLE WEEKLY MENU 02/07/1989
POLICIES 08/20/1982
DIAGRAM/OUTDOOR 07/22/1998
LOCAL ZONING APPROVAL 12/10/1999
LOCAL BUILDING APPROVAL 12/10/1999
ARTICLES OF INCORPORATION 08/27/1980
DIRECTOR'S QUALIFICATIONS 07/20/2016
DAILY SCHEDULE 04/03/2017
DIAGRAM/INDOOR 04/03/2017
APPLICATION 07/15/2020
STAFF SHEET 08/18/2020




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
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 82
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS children ages 5 months to 18 months; Tracey Berry
2 8 MIXED children ages two and three; Faith Taylor and Shelbey O'Connor
2 9 MIXED children ages two and three; Melissa Remer-Phifer and Skyler Sachtleban
1 9 MIXED children ages four and five; Yvonne Gibson
2 14 MIXED children ages four and five; Michelle Ewens and Bre Williams
2 10 MIXED children ages four and five; Krista Oliver and Lily McLaren
5 0 NO CHILDREN IN ATTENDANCE Annette Kiehne, Rachel Marler, Dana Luetkemeier, Carla Elliott, and Gabriella McCord
1 9 PRESCHOOL children ages three and four; Ashlee Willson
1 10 PRESCHOOL children ages three and four; Ashtyn Naylor
1 9 PRESCHOOL children ages three and four; Brie Andersen

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Compliance
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
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
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Compliance
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
Compliance
5 CSR 25-500.192 Health Care
Compliance
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