DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STRICTLY PEDIATRICS CENTER, INC.

000791200

(314) 439-0800

56 WORTHINGTON ACCESS DR
MARYLAND HEIGHTS
MO  63043

STRICTLY PEDIATRICS CENTER, INC.



 

BREEN, HALEY MARIE

mhdirector@strictlypediatricscenter.com

Incorporated

JULIE PLEIMANN

6 WEEKS - 12 YEARS

192

GROUP HOME AND CENTER

72 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/22/2025

9:00 AM

12:38 PM

UNANNOUNCED

COMPLIANCE MONITORING

2486091311


DocumentDocument-Date
SAMPLE FORMS 06/10/1996
LOCAL ZONING APPROVAL 02/09/1996
LINES OF ADMINISTRATIVE AUTHORITY 06/10/1996
JOB RESPONSIBILITIES 06/10/1996
DIRECTOR'S QUALIFICATIONS 01/29/2024
DIAGRAM/OUTDOOR 12/06/2005
DIAGRAM/INDOOR 09/17/2012
DAILY SCHEDULE 06/10/1996
CHILD CARE PRACTICES 06/10/1996
ARTICLES OF INCORPORATION 06/10/1996
POLICIES 11/29/2017
DISCIPLINE POLICIES 11/29/2017
SAMPLE WEEKLY MENU 11/29/2017
APPLICATION 10/23/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/09/2011
SAFE SLEEP POLICY 01/21/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 06/18/2020
STAFF SHEET 11/24/2020
LOCAL BUILDING APPROVAL 01/22/2025
CERTIFICATE OF GOOD STANDING 01/05/2023
SANITATION INSPECTION 12/11/2024
EQUIPMENT LIST 12/20/2024
ANNUAL DECLARATION 12/20/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/20/2024
FIRE/SAFETY INSPECTION 10/08/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 26
Total Children 101
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Destiny Eichelberger and Hannah Phillips were present with five children who were 21-months-old through 2-years-old.
2 7 INFANTS AND TODDLERS Coordinator Danielle Dorris and Tara Braddy were present with seven children who were 17-months-old through 22-months-old.
1 3 INFANTS AND TODDLERS Breaunna Webb was present with three children who were 16-months-old through 22-months-old.
1 4 INFANTS AND TODDLERS Tara Bradley was present with four children who were 5-months-old through 6-months-old.
1 3 INFANTS AND TODDLERS Krystal Messmer was present with three children who were 6-months-old through 10-months-old.
1 3 INFANTS AND TODDLERS Alexis Peasel was present with three children who were 12-months-old through 13-months-old.
1 3 INFANTS AND TODDLERS Lissa Jackson was present with three children who were 11-months-old through 12-months-old.
4 7 MIXED Nurse Chris Arnold, Room Assistant Bonnie Bowlin, Nursing Director Ellen Girresch, and Kelsea Richardson were present with seven children who were 14-months-old through 3-years-old. First Step employees Amy Stringer and Peggy Jacobs were also present
2 11 MIXED Megha Suryavanshi and Rebecca Silvey were present with eleven children who were 2-years-old through 3-years-old, including four who were 2-years-old.
4 0 NO CHILDREN IN ATTENDANCE Director Haley Breen, Assistant Director Kassi Talak, Teacher Rachel Robinson and Cook Jordan Fields were present with no children in attendance.
3 27 PRESCHOOL Tracy Fairbanks, Aunestie Cook, and Sara Duncan-Tucker were present with twenty-seven children who were 3-years-old through 4-years-old.
2 14 PRESCHOOL Tamara Parsons and Ambria Williams were present with fourteen children who were 4-years-old through 5-years-old.
2 14 TWO YEAR OLDS Lori Pratt and Samantha Pratt were present with fourteen children who were all 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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that two outlets in the cafeteria did not have outlet covers.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
1/22/2025
Violation
Hazardous items as follows were accessible to children: diaper creams, a spray bottle of bleach, and rubbing alcohol. The item(s) was/were located in the bathroom in Mid-1 classroom, and in an unlocked cabinet in a preschool classroom.
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
1/22/2025
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 2024, the staff listed need the following information: Tara Braddy needs 2 hours, Tara Bradley needs 5 hours, Sarah Tucker-Duncan needs 1 hour, Dacotah Misco needs 9 and Samantha Pratt needs 4.
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

Violation
Safe sleep training was not completed within the past 3 years for the following staff Alissa Robinson.
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

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