DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ST. JOHN'S EVANGELICAL LUTHERAN CHURCH OF HANNIBAL, MISSOURI

000354101

(573) 221-0615

1317 LYON
HANNIBAL
MO  63401

ST. JOHN'S EVANGELICAL LUTHERAN CHURCH OF HANNIBAL, MISSOURI



 

PAGE, SUMMER

spage@stjohnshannibal.org

Incorporated

BETHANY CARREL DUCKWORTH

24 MONTHS - 12 YEARS

71

GROUP HOME AND CENTER

 
Inspection Information

10/28/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2480885398


DocumentDocument-Date
APPLICATION 10/11/2018
STAFF SHEET 11/15/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/11/2016
ARTICLES OF INCORPORATION 09/12/1960
CHILD CARE PRACTICES 08/01/2011
DAILY SCHEDULE 11/12/1996
SAMPLE WEEKLY MENU 11/13/1990
DISCIPLINE POLICIES 08/01/2011
LINES OF ADMINISTRATIVE AUTHORITY 08/31/2007
JOB RESPONSIBILITIES 11/13/1990
POLICIES 08/01/2011
LLC ARTICLES OF ORGANIZATION 09/01/1990
DIAGRAM/INDOOR 07/27/2018
DIAGRAM/OUTDOOR 12/17/2008
CERTIFICATE OF GOOD STANDING 05/12/2020
DIRECTOR'S QUALIFICATIONS 10/02/2019
SANITATION INSPECTION 09/06/2023
FIRE/SAFETY INSPECTION 08/07/2023
EQUIPMENT LIST 01/04/2024
ANNUAL DECLARATION 01/04/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/11/2023




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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured at the bottom and corners of the entry/exit gate measured between 4 inches and/to 7.5 inches at the bottom on the East side of the outdoor play yard. On the south side of the outdoor play yard fence the gate had openings between 7 inches and 9 inches at the bottom left hand corner.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date
10/28/2024
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
Compliance
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