DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
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Facility Information

ST. LOUIS CHILDREN'S HOSPITAL

000168492

(314) 454-4700

321 S NEWSTEAD AVE
ST LOUIS
MO  63110-1189

ST. LOUIS CHILDREN'S HOSPITAL



 

ZITKO, MARGARET A

margaret.zitko@bjc.org

Incorporated

DENISE ELAYNE KOCH

6 WEEKS - 10 YEARS

235

GROUP HOME AND CENTER

51 CHILDREN UNDER 12 MONTHS; 80 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/14/2025

10:36 AM

2:27 PM

UNANNOUNCED

COMPLIANCE MONITORING

2496249084


DocumentDocument-Date
SAFE SLEEP POLICY 04/15/2016
ARTICLES OF INCORPORATION 02/27/2015
DAILY SCHEDULE 05/22/1995
DIAGRAM/INDOOR 05/22/1995
DIAGRAM/OUTDOOR 05/22/1995
DISCIPLINE POLICIES 05/22/1995
JOB RESPONSIBILITIES 05/22/1995
SAMPLE FORMS 05/22/1995
SAMPLE WEEKLY MENU 05/22/1995
CHILD CARE PRACTICES 05/22/1995
POLICIES 05/22/1995
APPLICATION 01/09/2019
STAFF SHEET 03/15/2019
EQUIPMENT LIST 03/25/2025
SANITATION INSPECTION 05/21/2025
FIRE/SAFETY INSPECTION 02/27/2025
CERTIFICATE OF GOOD STANDING 05/14/2025
ANNUAL DECLARATION 05/14/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/25/2025
LOCAL BUILDING APPROVAL 05/14/2025
LOCAL ZONING APPROVAL 05/14/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 31
Total Children 111
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Teacher, Niki Syms present with two children ages 4-months-old.
2 6 INFANTS AND TODDLERS Teacher, Pamela Brooks and Teacher, Abigal Barron present with six children ages 15-months-old to 18-months-old.
2 7 INFANTS AND TODDLERS Teacher, Sierra Brown and Teacher, Rosie Hall present with seven children ages 8-months-old to 12-months-old.
1 3 INFANTS AND TODDLERS Teacher, Halee Lawson present with three children ages 8-months-old to 14-months-old.
2 4 INFANTS AND TODDLERS Teacher, Arielle Hairston and Teacher, Shannon Jones present with four children ages 16-months-old to 18-months-old.
2 7 INFANTS AND TODDLERS Teacher, Patricia Baker and Teacher, Yasse Dick-Blewoussi present with seven children ages 18-months-old to 2-years-old.
1 4 INFANTS AND TODDLERS Teacher, Cosandra Rogers present with four children ages 8-months-old to 14-months-old.
2 11 MIXED Teacher, Maria Krajczar and Teacher, Karon Lombardo present with 11 children ages 2-years-old to 3-years-old including four children ages 2-years-old.
2 11 MIXED Teacher, Karon Adkins and Teacher, Benya Shaw present with eleven children ages 2-years-old to 3-years-old including nine children age 2-years-old.
4 0 NO CHILDREN IN ATTENDANCE Director, Margaret Zitko, Staff Member, Brooke Clark, Staff Member, Melissa Engelman, Staff Member, Rebecca Cunningham and Center Aid, Stephanie Jenkins present with no children in attendance.
2 11 PRESCHOOL Teacher, Brenda Brookfield and Teacher, Pam Butler present with eleven children ages 4-years-old to 5-years-old.
2 9 PRESCHOOL Teacher, Natasha Towers and Teacher, Renita Joseph present with nine children ages 3-years-old.
2 11 PRESCHOOL Teacher, Coleen Vinson and Teacher, Lauren Taylor present with eleven children ages 4-years-old.
2 13 PRESCHOOL Teacher, Greg McCrary and Teacher, Leala Causey present with thirteen children ages 3-years-old to 4-years-old.
2 6 TWO YEAR OLDS Teacher, Alyssa Douglas and Teacher, Maria Johnson present with six children ages 2-years-old.
2 6 TWO YEAR OLDS Teacher, Angie Muniz and Teacher, Ruby Dyson present with six children ages 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
Violation
 Provider Comments
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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
Compliance
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
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
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
Not Observed
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