DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

GRACEFUL BEGINNINGS DAYCARE AND PRESCHOOL

002259998

(573) 248-1911

4116 HIGHWAY MM
HANNIBAL
MO  63401

GRACE POINTE CHURCH



 

SPURGEON, SARAH

gracefulbeginnings2011@gmail.com

Incorporated

BETHANY CARREL DUCKWORTH

BIRTH - 12 YEARS

46

LICENSE EXEMPT PROGRAM

18 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/13/2025

10:20 AM

11:24 AM

ANNOUNCED

ANNUAL

2487387331


DocumentDocument-Date
SANITATION INSPECTION 11/30/2024
FIRE/SAFETY INSPECTION 11/13/2024
NOTICE OF PARENTAL RESPONSIBILITY 08/22/2024




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: NA
Attendance at Time of Inspection
Total Staff 7
Total Children 37
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Staff: Pam Longsteimeyer. Age range 2 months through 10 months. NPR states 1 staff member to every 10 children under 2 years of age.
1 7 INFANTS AND TODDLERS Staff: Kristina McGlasson. Age range 18 months through 2 years old. One 2 year old child. NPR states 1 staff member to every 10 children age Under 2 years of age. NPR states 1 staff member to every 18 children ages 2 years through 4 years.
1 5 INFANTS AND TODDLERS Staff: Rebecca Crawford. Age range 13 months through 22 months. NPR states 1 staff member to every 10 children under 2 years of age.
1 9 MIXED Staff: Alyson Gibbs-Utterback. Age range 2 years through 3 years. NPR state 1 staff member to every 18 children ages 2 years through 4 years.
2 12 MIXED Staff: Sarah Spurgeon and Amanda Kincaid. Age range 3 years through 8 years. 10 children ages 3 through 4 years. NPR states 1 staff member to every 18 children ages 2 years through 4 years. 2 children 5 and over. NPR states 1 staff member to every 18 children ages 5 years and above.
1 0 NO CHILDREN IN ATTENDANCE Staff: William Moore. Not counted in staff/child ratio at time of inspection. Cook

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
TB reports on file were older than 24 months for the results in the file were over 2 years old. Amanda Kincaid had a copy of her current test available to give to CI Duckworth.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
2/13/2025
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
Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by the square foam block for the young crawlers was not in good condition as the upholstery was peeling and missing about a softball portion of coverage.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Corrected on Site

Compliance Date
2/13/2025
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