DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STRICTLY PEDIATRICS CENTER, INC.

002689069

(314) 462-0920

611 W WOODBINE AVE
KIRKWOOD
MO  63122-5634

STRICTLY PEDIATRICS CENTER, INC.



 

MECKFESSEL, JULIA MARIE

strictlypediatrics@sbcglobal.net

Incorporated

ABBIGAIL HORN

6 WEEKS - 6 YEARS

114

GROUP HOME AND CENTER

24 CHILDREN UNDER 12 MONTHS; 48 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/23/2025

11:59 AM

1:05 PM

UNANNOUNCED

COMPLIANCE MONITORING

2500749392


DocumentDocument-Date
APPLICATION 12/18/2018
DIAGRAM/INDOOR 01/30/2019
DIAGRAM/OUTDOOR 01/30/2019
DAILY SCHEDULE 01/30/2019
JOB RESPONSIBILITIES 01/30/2019
LINES OF ADMINISTRATIVE AUTHORITY 01/30/2019
CHILD CARE PRACTICES 01/30/2019
POLICIES 01/30/2019
DISCIPLINE POLICIES 01/30/2019
SAFE SLEEP POLICY 01/30/2019
SAMPLE WEEKLY MENU 01/30/2019
SAMPLE FORMS 01/30/2019
DIRECTOR'S QUALIFICATIONS 01/30/2019
ARTICLES OF INCORPORATION 01/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/30/2019
STAFF SHEET 02/25/2019
LOCAL ZONING APPROVAL 01/30/2019
FIRE/SAFETY INSPECTION 12/03/2024
EQUIPMENT LIST 02/07/2025
SANITATION INSPECTION 01/28/2025
CERTIFICATE OF GOOD STANDING 03/20/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/07/2025
ANNUAL DECLARATION 02/07/2025
LOCAL BUILDING APPROVAL 06/09/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 15
Total Children 72
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Peggy Pierce, teacher present with four children, ages 4-months-old to 6-months-old.
1 4 INFANTS AND TODDLERS Jennifer DePriest, teacher present with four children, ages 7-months-old to 11-months-old.
2 6 INFANTS AND TODDLERS Mariko Gilkey and Maureen Gage, teachers present with six children, ages 17-months-old to 24-months-old.
2 8 INFANTS AND TODDLERS Amanda Luckett and Maddy Stanfill, teachers present with eight children, ages 14-months-old to 18-months-old.
1 3 INFANTS AND TODDLERS Abigail Pyle, teacher present with three children, ages 15-months-old to 20-months-old.
2 15 MIXED Laura Bell and Alexandria Fairbanks, teachers present with fifteen children, ages 2-years-old to 3-years-old.
2 0 NO CHILDREN IN ATTENDANCE Julia Meckfessel, director, and Carolyn Stevens, chef present with no children.
1 10 PRESCHOOL Kristin Gilbers, teacher present with ten children, age 3-years-old.
2 13 PRESCHOOL Kaytlin Dosher and Nadia Hempen, teachers present with thirteen children, ages 4-years-old to 5-years-old.
1 9 PRESCHOOL Sidney King, teacher present with nine children, ages 3-years-old to 4-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
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Lysol wipes. The item(s) was/were located within reach of children on a diapering table in a 2-year-old classroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
9/23/2025
Violation
The ceilings located in the toddler gross motor room was/were not in good condition as evidenced by there were two missing tiles.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The ceilings located in the Pre-K 2 room was/were not in good condition as evidenced by there was one missing ceiling tile.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

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
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
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
Compliance
5 CSR 25-500.222 Records and Reports
Not Observed
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