DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

BETHLEHEM LUTHERAN CHILDCARE

000207181

(314) 231-4702

2153 SALISBURY ST
ST LOUIS
MO  63107-3129

BETHLEHEM EVANGELICAL LUTHERAN CHURCH OF THE UNALTERED AUGSBURG CONFESSION OF ST. LOUIS, MISSOURI



 

FOSTER, ALLANA GERMAINE

seminarian.chris@bethlehemstlouis.org

Incorporated

DENISE ELAYNE KOCH

24 MONTHS - 16 YEARS

84

LICENSE EXEMPT PROGRAM

 
Inspection Information

07/28/2025

11:35 AM

11:35 AM

UNANNOUNCED

SUPPLEMENTAL

2497647649


DocumentDocument-Date
FIRE/SAFETY INSPECTION 05/27/2025
SANITATION INSPECTION 05/30/2025
NOTICE OF PARENTAL RESPONSIBILITY 01/07/2025




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 2

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
Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 7/1/24, 12/23/24, 8/1/24.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment 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
Not Observed
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 7 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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.
Violation
 Provider Comments
Violation
Discipline did not meet that set forth in the Notice of Parental Responsibility.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (5) states: The disciplinary philosophy and policies of the child-care facility.
Correction Required
The Notice of Parental Responsibility submitted did not contain disciplinary philosophy and policies.

Correction Verification
Corrected on Site

Compliance Date
7/28/2025
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