DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CALVARY BAPTIST CHURCH CHILD CARE CENTER

000354094

(573) 221-1404

4605 W ELY RD
HANNIBAL
MO  63401

CALVARY BAPTIST CHURCH OF HANNIBAL MISSOURI



 

MCCLOUD, JILL MARIE

jmccloud@cbchannibal.com

Incorporated

BETHANY CARREL DUCKWORTH

6 WEEKS - 12 YEARS

99

LICENSE EXEMPT PROGRAM

28 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/10/2025

11:27 AM

1:41 PM

ANNOUNCED

ANNUAL

2487196263


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/13/2024
SANITATION INSPECTION 01/21/2025
FIRE/SAFETY INSPECTION 01/21/2025




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 4
Attendance at Time of Inspection
Total Staff 10
Total Children 52
StaffChildClass AgeNote
2 10 INFANTS AND TODDLERS Staff: Maria Cox and Emma Fiscella. Age range 14 months through 23 months. NPR states 1 staff member to every 6 children under 2 years of age.
1 4 INFANTS AND TODDLERS Staff: Sandra Barnett. Age range 7 months through 10 months. NPR states 1 staff member to every 6 children under 2 years old.
1 4 INFANTS AND TODDLERS Staff: Patricia Shoemate. Age range 5 months to 7 months. NPR states 1 staff member to every 6 children under 2 years old.
1 8 MIXED Staff: Amber Waters. Age range 2 years through 3 years. NPR states 1 staff member to every 12 children ages 2 years through 3 years.
1 11 MIXED Staff: Lauren Mulheron. Age range 4 years through 5 years. NPR states 1 staff member to every 12 children ages 2 through 4 years. NPR states 1 staff member to every 19 children age 5 years and above. ( Thee 4 year old and Eight 5 year old children.
2 0 NO CHILDREN IN ATTENDANCE Staff: Jill McCloud and Sheila Lair. Not counted in staff/child ratio at time of inspection.
1 9 PRESCHOOL Staff: Patricia Zook. Age range 3 years through 4 years. NPR states 1 staff member to every 12 children ages 2 years through 4 years.
1 6 TWO YEAR OLDS Staff: JaTaia Rose. All children 2 years old. NPR states one staff member for every 12 children ages 2 years through 4 years.

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
Violation
 Provider Comments
Violation
Supervision and basic care were not provided as evidenced by CI Duckworth observed 4 toddlers from the Toddler classroom walking through halls unsupervised while transition from lunch back to the classroom.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities.
Correction Required
Caregivers shall provide basic care and supervision.

Correction Verification
Return Inspection

Compliance Date

Violation
A caregiver has not reviewed the rules of this chapter as evidenced by Jill McCloud (director) confirmed that Jaren Tanner has not read the LE rules.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.
Correction Required
All caregivers shall review the rules as required.

Correction Verification
Submit Documentation

Compliance Date
2/10/2025
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that the form in the file did not include all of OOC's medical form statements verifying that Patricia Shoemate is able to work in a child care facility, an lift children, provide care for children and did not have contagious diseases.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
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
Violation
 Provider Comments
Violation
The requirements for separation of the kitchen from other areas were not met as evidenced by there were no walls or partitions defining the kitchen area.
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (I) 3 states: Kitchens shall be separated from all other areas by walls or partitions at least thirty- six inches (36") high.
Correction Required
Kitchens shall be separated from other areas by walls or partitions at least 36 inches high.

Correction Verification
Corrected on Site

Compliance Date
2/10/2025
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 work room was open and the door to the office was open.
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
2/10/2025
Violation
The walls located the 2 room (south wall), 2 and 3 room (east wall), early pre-k room (south wall under bulletin board) pre-K (west and east wall under bulletin boards), cafeteria (all walls, approx. 7 spots), and Infant 1 on wall behind swing west wall) was/were not made of an approved material as evidenced by peeling paint and peeling/holes in the drywall..
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The space for infants and toddlers is not separated by floor-to-ceiling walls.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (F) 2 states: A facility with a capacity of more than twenty (20) children or more than four (4) infants and toddlers shall have infant and toddler space separate from the older children. The space shall be separated by floor to- ceiling walls with separate play, sleeping and bathroom space.
Correction Required
Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls.

Correction Verification
Corrected on Site

Compliance Date
2/10/2025
Violation
Children were not restricted to approved space as evidenced by 3 doors in the gym were not locked and the storage room and unapproved space was accessible to the children.
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

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