DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

LITTLE LAMBS PRESCHOOL & PDO

001156798

(816) 734-2216

9555 N OAK TRFY
KANSAS CITY
MO  64155-2256

GOOD SHEPHERD UNITED METHODIST CHURCH



 

KNOWLES, MELISSA L

MKNOWLES@GOODSHEPHERDKC.COM


BIONICA D SMITHJACKSON

BIRTH - 6 YEARS

152

LICENSE EXEMPT PROGRAM

37 CHILDREN IN THE INFANT/TODDLER UNIT; 20 CHILDREN UNDER 12 MONTHS
 
Inspection Information

06/30/2025

10:45 AM

11:34 AM

UNANNOUNCED

REINSPECTION

2496041685


DocumentDocument-Date
FIRE/SAFETY INSPECTION 11/07/2023
SANITATION INSPECTION 01/24/2025
NOTICE OF PARENTAL RESPONSIBILITY 02/10/2025




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 1
Attendance at Time of Inspection
Total Staff 18
Total Children 72
StaffChildClass AgeNote
3 8 INFANTS AND TODDLERS caregivers Sydney Serrano, Meily Rae, and Ashay Whithe with eight children; 9-to-18-months-old (NPR ratio-1:5)
1 2 INFANTS AND TODDLERS caregiver Tine Whittlesey with two children, 9-months-old (NPR ratio-1:5)
3 21 MIXED caregivers Emma Brown, Nyasia Howard, and Mia Iverson with twenty-one children, fifteen 4-to-5-years-old, and six school-age, 6-to-8-years-old (on playground) (NPR ratio 1:16
2 17 MIXED caregivers Brylee Vaughn and Emma Hoffman with seventeen children nine 2-years-old and eight 3-years-old (NPR ratio-1:9)
4 0 NO CHILDREN IN ATTENDANCE additional staff on the premises were director Melissa Knowles and staff Ashley Coulier, Ann Battey, and Kaitlin Dull
1 9 PRESCHOOL caregiver Sophie Cable with nine children, 3-to-4-years-old (NPR ratio-1:13
2 13 PRESCHOOL caregivers Hailey Steinbach and Jessica Woolsey with thirteen children, 3-to-4-years-old (NPR ratio-1:13)
1 1 TWO YEAR OLDS caregiver Raven Uchiek with one child, 2-years-old (NPR ratio-1:9)
1 1 TWO YEAR OLDS caregiver Hailey Thompson with one child, 3-years-old (NPR ratio-1:9)

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Not Observed
5 CSR 25-300.040 Staffing Requirements
Not Observed
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 medical exam forms for Crystal Mendoza and Sydney Serrano not completely filled out.
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
3/18/2025
Violation
Medical examination reports, including TB testing, were not on file for Emma Hoffman 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
3/19/2025
5 CSR 25-300.060 Responsibilities of Caregivers
Not Observed
5 CSR 25-300.070 Fire Safety Requirements
Not Observed
5 CSR 25-300.080 Sanitation Requirements
Not Observed
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
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
6/30/2025
Violation
The facility failed to meet requirements for 25 children, who nap or sleep, did not have a sheet.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.

Correction Verification
Submit Documentation

Compliance Date
3/5/2025
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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.
Not Observed
RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Not Observed
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Not Observed
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Violation
 Provider Comments
Violation
Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.
Licensing Rule Reference
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification
Submit Documentation

Compliance Date