DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

URBAN LEAGUE OF METRO ST. LOUIS-BROADWAY HEAD START/EARLY HEAD START

002845783

(314) 317-0264

4040 S BROADWAY
ST LOUIS
MO  63118-4625

URBAN LEAGUE OF METROPOLITAN ST. LOUIS



 


abrown2@urbanleague-stl.org

Incorporated

SAMANTHA UPSHAW

6 WEEKS - 5 YEARS

60

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/16/2024

9:45 AM

12:52 PM

UNANNOUNCED

COMPLIANCE MONITORING

2478289006


DocumentDocument-Date
APPLICATION 08/06/2020
ARTICLES OF INCORPORATION 12/08/2020
JOB RESPONSIBILITIES 12/08/2020
SAMPLE FORMS 12/08/2020
REGISTERING FICTITIOUS NAMES 08/06/2020
DAILY SCHEDULE 12/08/2020
SAMPLE WEEKLY MENU 12/08/2020
DISCIPLINE POLICIES 12/08/2020
DIAGRAM/INDOOR 12/08/2020
DIAGRAM/OUTDOOR 12/08/2020
CHILD CARE PRACTICES 12/08/2020
POLICIES 12/08/2020
SAFE SLEEP POLICY 12/08/2020
LINES OF ADMINISTRATIVE AUTHORITY 11/17/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 02/03/2021
DIRECTOR'S QUALIFICATIONS 08/04/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/08/2020
LOCAL ZONING APPROVAL 10/12/2020
CERTIFICATE OF GOOD STANDING 09/20/2023
LOCAL BUILDING APPROVAL 09/20/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/16/2024
SANITATION INSPECTION 05/11/2023
ANNUAL DECLARATION 09/16/2024
FIRE/SAFETY INSPECTION 06/17/2024
EQUIPMENT LIST 09/16/2024




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.
Attendance at Time of Inspection
Total Staff 9
Total Children 21
StaffChildClass AgeNote
5 0 NO CHILDREN IN ATTENDANCE Angela Brown, Designee, Lorraine Pitchford, Person In Charge, Donald Mays, Custodian, Jessica Laughlin, Family Support Worker, and Telise Caston, Program Aide, were present with no children in care.
1 7 PRESCHOOL Tandra Stokes, Teacher, was present with seven children in care, aged 3-years-old to 4-years-old.
2 10 PRESCHOOL Ronniya Miller, Teacher, and Dawn Moore-Lockett, Teacher, were present with ten children in care, aged 3-years-old to 4-years-old.
1 4 TWO YEAR OLDS Angel Booker, Teacher, was present with four children in care, all aged 2-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 equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by the doors to the Kitchen were left open while lunch was being served.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
Violation
Hazardous items as follows were accessible to children: cleaning supplies and harsh chemicals. The item(s) was/were located in the utility closet in the hallway.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
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 2022, the staff listed need the following information: Mary Johnson needs 0.5 clock 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
9/9/2024
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
9/16/2024
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Alexis Lane, and Peccola Elliot.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
9/16/2024
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
Not Observed
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
Violation
 Provider Comments
Violation
Two child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
Violation
One child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
9/16/2024
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