DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CABOOL SECOND BAPTIST DAYCARE

002033338

(417) 962-3608

13475 INDUSTRIAL PARK
CABOOL
MO  65689-8504

CABOOL SECOND BAPTIST CHURCH

PO BOX 758
CABOOL
MO  65689-0758

POLM, MELINDA ANN

director.csbcd@gmail.com

Incorporated

KATINA D KATTICH

6 WEEKS - 13 YEARS

99

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/03/2025

2:00 PM

4:47 PM

ANNOUNCED

ANNUAL

2485155222


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/10/2024
SANITATION INSPECTION 11/22/2024
NOTICE OF PARENTAL RESPONSIBILITY 07/15/2024




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 4
Attendance at Time of Inspection
Total Staff 6
Total Children 26
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Caregiver Alissa Clark with four children 5 months-12 months
1 4 INFANTS AND TODDLERS Caregiver Charity Tippen present with four children: three children age 1-year-old; one child age 2-years-old.
1 7 MIXED Caregiver Rachel Schweighauser with seven children: four children age 3-years old and three children age 2-years-old.
1 0 NO CHILDREN IN ATTENDANCE Additional Staff Director Melinda Polm with zero children present.
1 5 SCHOOL AGE Caregiver Donna Sullivan with five children age 10-years-old in gym.
1 6 TWO YEAR OLDS Caregiver Jasmine Martin with six children: two children age 3-years-old; four children age 2-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
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
Violation
 Provider Comments
Violation
The use of diapering products did not meet requirements as evidenced by products were not labeled with the child's name.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (3) (B) states: Disposable tissues or wipes shall be used to clean the child at each time of diapering. Any diapering creams, powders or other products applied at the time of diapering shall be approved or provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering creams, powders or other products shall be approved or supplied by the parent and labeled with the child's name.

Correction Verification
Corrected on Site

Compliance Date
1/3/2025
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 A closet in the school age room where large tables are stacked was not locked.
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
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: Adult scissors and Suave lotion. The item(s) was/were located on the teacher desk in the school-age room..
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification
Corrected on Site

Compliance Date
1/3/2025
Violation
The premises were not safe and suitable as evidenced by the shelving units in Room 128 and Room 146 are not stable and pose a tipping hazard.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for the outdoor play area were not met as evidenced by the opening measured 3.5" on the outdoor gate where children enter and exit the facility.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of a wire protruding from the chain link fence at the bottom of the gate.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
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