DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SAINT LUKE'S HOSPITAL OF KANSAS CITY

000178712

(816) 932-3900

4231 PENNSYLVANIA AVE
KANSAS CITY
MO  64111-3076

SAINT LUKES HOSPITAL OF KANSAS CITY



 

HARRIS, JENNIFER RENE

JRHARRIS@SAINT-LUKES.ORG

Incorporated

RACHEL CATRELL

6 WEEKS - 15 YEARS

260

GROUP HOME AND CENTER

84 CHILDREN IN THE INFANT/TODDLER UNIT; 32 CHILDREN UNDER 12 MONTHS
 
Inspection Information

07/17/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2474413625


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 07/29/1991
JOB RESPONSIBILITIES 05/22/2007
DIRECTOR'S QUALIFICATIONS 03/07/2007
SAMPLE WEEKLY MENU 05/24/1991
DAILY SCHEDULE 06/03/1991
DIAGRAM/OUTDOOR 06/07/1991
DIAGRAM/INDOOR 06/07/1991
ARTICLES OF INCORPORATION 05/19/1982
LOCAL ZONING APPROVAL 06/19/1991
LOCAL BUILDING APPROVAL 06/19/1991
CHILD CARE PRACTICES 05/19/1991
DISCIPLINE POLICIES 06/19/1991
POLICIES 06/19/1991
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/27/2018
APPLICATION 02/20/2019
SANITATION INSPECTION 05/28/2024
CERTIFICATE OF GOOD STANDING 12/05/2022
ANNUAL DECLARATION 06/11/2024
EQUIPMENT LIST 06/11/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/11/2024
FIRE/SAFETY INSPECTION 03/28/2024




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.

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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in the Critter and Bunny rooms was/were not in good condition as evidenced by in the critter room there was chipping paint that revealed green paint along the left wall. In the Bunny room, there was the same chipping paint along the right wall and chipping paint in the back left corner.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
7/15/2024
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
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: Marialuisa Deleon needs 1.75 hours.
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
7/15/2024
Violation
Safe sleep training was not completed within the past 3 years for the following staff Danae Leeds, Rose Martino and Lyndsey Painter.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date
7/15/2024
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
Compliance
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
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
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