DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

LITTLE LAMBS

002756861

(417) 358-5059

2134 GRAND AVE
CARTHAGE
MO  64836-3504

FAITH LUTHERAN CHURCH



 

MCQUALITY, RACHEL GERMAINE

littlelambsincarthage@gmail.com


RENEE L LAMONTIA

BIRTH - 5 YEARS

30

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/08/2025

11:01 AM

12:55 PM

UNANNOUNCED

REINSPECTION

2496514617


DocumentDocument-Date
SANITATION INSPECTION 05/21/2025
FIRE/SAFETY INSPECTION 05/12/2025
NOTICE OF PARENTAL RESPONSIBILITY 08/21/2024




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 1
Attendance at Time of Inspection
Total Staff 7
Total Children 21
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Staff Mikayla Brown in ratio with 4 children ages 8 months to 15 months of age.
3 0 NO CHILDREN IN ATTENDANCE Staff Rachel McQuality, Rachel Bates and Brenda Westbrook, were present in the facility with no children in attendance.
1 6 PRESCHOOL Staff Vanessa Cruz and Kayla Howell in ratio with 9 children, ages 2 to 3 years of age.
1 6 PRESCHOOL Staff Stormey Eads in ratio with 6 children ages 4 to 5 years of age.
1 5 TWO YEAR OLDS Staff Ivy Honeycutt in ratio with 5 children, 2 years of age.

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 Desarae Marquez 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

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
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by a child's file was missing a signed and initialed enrollment form .
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
6/30/2025
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.
Not Observed