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

05/29/2025

8:23 AM

11:08 AM

UNANNOUNCED

REINSPECTION

2496261860


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 39
Total Children 107
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Teacher, Abby Barron and Teacher, Pam Brooks present with eight children ages 15-months-old to 18-months-old.
3 5 INFANTS AND TODDLERS Teacher, Wanda Marshall, Teacher, Rosie Hall and Teacher, Haley Lawson present with five children ages 9-months-old to 12-months-old.
2 7 INFANTS AND TODDLERS Teacher, Kaleasha Robinson and Teacher, Cossandra Rogers present with seven children ages 9-months-old to 17-months-old.
1 4 INFANTS AND TODDLERS Teacher, Patti Baker present with four children ages 19-months-old to 23-months-old.
1 4 INFANTS AND TODDLERS Teacher, Yasse Vick-Blewoussi present with four children ages 15-months-old to 23-months-old.
1 1 INFANTS AND TODDLERS Teacher, Leala Causey present with one child age 4-months-old.
1 1 INFANTS AND TODDLERS Teacher, Niki Syms present with one child ages 5-months-old.
2 6 INFANTS AND TODDLERS Teacher, Rochelle Henderson and Teacher, Hannah Clodius present with six children ages 22-months-old to 23-months-old.
2 2 INFANTS AND TODDLERS Teacher, Shannon Jones and Teacher, O'Rian Smith present with two children ages 17-months-old.
2 8 MIXED Teacher, Becca Tensing and Teacher, Karon Adkins present with eight children ages 2-years-old to 3-years-old including five children ages 2-years-old.
2 12 MIXED Teacher, Benya Shaw and Teacher, Maria Krajcare present with twelve children ages 2-years-old to 3-years-old including nine children ages 2-years-old.
4 0 NO CHILDREN IN ATTENDANCE Director, Margaret Zitko, Administrative Assistant, Rebecca Cunningham, Center Aid, Stephanie Jenkins and Infant Toddler Supervisor, Melissa Engelman present with no children in attendance.
3 0 NO CHILDREN IN ATTENDANCE Director, Margaret Zitko, Administrative Assistant, Rebecca Cunningham and Infant Toddler Supervisor, Melissa Engelman present with no children in attendance.
1 0 NO CHILDREN IN ATTENDANCE Preschool Specialist, Brooke Clark present with no children in attendance.
2 16 PRESCHOOL Teacher, Lauren Taylor and Teacher, Coleen Vinson present with sixteen children ages 4-years-old.
2 5 PRESCHOOL Teacher, Natasha Towers and Teacher, Kristina Lombardo present with five children ages 3-years-old.
2 9 PRESCHOOL Teacher, Christine McNeary and Teacher, LaVonda Robinson present with nine children ages 3-years-old to 4-years-old.
2 7 PRESCHOOL Teacher, Brenda Brookfield and Teacher, Pamela Butler present with seven children ages 4-years-old to 5-years-old.
2 7 TWO YEAR OLDS Teacher, Erin Willett and Teacher, Angela Muniz present with seven children ages 2-years-old.
2 5 TWO YEAR OLDS Teacher, Ruby-Rosa Dyson and Teacher, Maria Johnson present with five children ages 2-years-old.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
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
5/21/2025
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in each of the rooms either against a wall or in the middle of the room preventing the caregiver from being able to maintain supervision of the children at all times.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
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
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
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
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
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
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
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 — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance