DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

IXL ACADEMY PRESCHOOL & AFTER SCHOOL PROGRAM

002360403

(573) 468-8044

444 BEEMAN ST
SULLIVAN
MO  63080-1802

TEMPLE BAPTIST CHURCH OF SULLIVAN, FRANKLIN COUNTY, MISSOURI



 

MALLORI, PEREGOY

mallori@tbcsullivan.com

Incorporated

LAUREN R RAYWARNKE

24 MONTHS - 14 YEARS

60

LICENSE EXEMPT PROGRAM

 
Inspection Information

05/10/2024

10:00 AM

11:35 AM

ANNOUNCED

ANNUAL

2470576960


DocumentDocument-Date
FIRE/SAFETY INSPECTION 01/04/2024
NOTICE OF PARENTAL RESPONSIBILITY 08/14/2023
SANITATION INSPECTION 03/12/2024




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 1
Attendance at Time of Inspection
Total Staff 4
Total Children 19
StaffChildClass AgeNote
1 9 MIXED Caregiver Lisa Adams with 9 children, one child age 2 and eight children ages 3 through 4 years old. NPR 1:13
2 0 NO CHILDREN IN ATTENDANCE Director Mallori Peregoy and Assistant Director Victoria Wall in the main office with 0 children.
1 10 PRESCHOOL Caregiver Savannah Huber with 10 children ages 4 through 5 years old. NPR 1:13 (4's) NPR 1:16 (5's)

Compliance List
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
Violation
 Provider Comments
Violation
TB reports on file were older than 24 months for Rachel Hoke.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
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