DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

TRINITY DAYCARE

002117346

(660) 258-7020

224 S MAIN
BROOKFIELD
MO  64628

TRINITY UNITED METHODIST CHURCH OF BROOKFIELD, MISSOURI



 

CLEMENTS, ALEXIS ROXANNE

alexisrclements@gmail.com

Incorporated

ELLEN DONOHO

BIRTH - 12 YEARS

45

LICENSE EXEMPT PROGRAM

10 CHILDREN UNDER 24 MONTHS
 
Inspection Information

06/04/2024

9:10 AM

10:11 AM

ANNOUNCED

ANNUAL

2471808234


DocumentDocument-Date
SANITATION INSPECTION 04/08/2024
FIRE/SAFETY INSPECTION 03/11/2024
NOTICE OF PARENTAL RESPONSIBILITY 06/12/2023




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: NA
Attendance at Time of Inspection
Total Staff 6
Total Children 25
StaffChildClass AgeNote
3 6 INFANTS AND TODDLERS 2 months-22 months 1-5- Ratio Heather Billups, Tamara Vanasoll. Taylor Phipps, staff
2 13 MIXED 2-4 years 5- two year old children Ratio: 1-10 Lillee Mitchell and Jaunita George, staff
1 6 SCHOOL AGE 6 years-10 years Jenna Jurkofsy, staff 1-15 Ratio

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
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
6/4/2024
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