DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

TIMOTHY LUTHERAN CHURCH: MOTHER'S DAY OUT

001632522

(314) 781-8673

6704 FYLER AVE
ST LOUIS
MO  63139-2239

TIMOTHY EVANGELICAL LUTHERAN CHURCH OF ST. LOUIS, MISSOURI



 

TYLER, JENNA LEE

mdo@timothystl.org

Incorporated

SAMANTHA UPSHAW

12 MONTHS - 5 YEARS

30

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/13/2024

10:00 AM

12:30 PM

ANNOUNCED

ANNUAL

2482038638


DocumentDocument-Date
FIRE/SAFETY INSPECTION 09/19/2024
SANITATION INSPECTION 09/19/2024
NOTICE OF PARENTAL RESPONSIBILITY 08/27/2024




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 2
Attendance at Time of Inspection
Total Staff 8
Total Children 21
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Amy Ricketts, Teacher, and Mary-Ellen Sheetz, Teacher, were present with seven children in care, aged 14-months-old to 22-months-old.
2 0 NO CHILDREN IN ATTENDANCE Jacinda Nunnally, Director and Annabella Custodian, were present with no children in care.
2 7 PRESCHOOL Claire Shelton, Teacher, and Olivia Ervin, Teacher, were present with seven children in care, aged 2-years-old to 4-years-old. Only one of the children were 4-years-old.
2 7 PRESCHOOL Meagan Bolin, Teacher, and Debra Tulk-Nierre, Teacher, were present with seven children in care, aged 2-years-old to 3-years-old. Only one of the children were 3-years-old.

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
Medical examination reports, including TB testing, were not on file for Jacinda Nunnally as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's storage/disposal of medication was not proper as evidenced by medication was within reach of children. The medication was located in a child's backpack, hung on the classroom wall at child-height..
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (10) (C) states: All medication shall be stored out of reach of children or in a locked container.
Correction Required
Medication shall be inaccessible to children and handled as required.

Correction Verification
Corrected on Site

Compliance Date
11/13/2024
Violation
Medical examination reports, including TB testing, were not on file for Jacinda Nunnally as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
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
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by the door to the upstairs church area was left open near the boys bathroom.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) 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
11/13/2024
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 two child files did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
11/13/2024
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one 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
11/13/2024
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
11/13/2024
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