DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CABOOL SECOND BAPTIST DAYCARE

002033338

(417) 962-3608

13475 INDUSTRIAL PARK
CABOOL
MO  65689-8504

CABOOL SECOND BAPTIST CHURCH

PO BOX 758
CABOOL
MO  65689-0758

POLM, MELINDA ANN

director.csbcd@gmail.com

Incorporated

KATINA D KATTICH

6 WEEKS - 13 YEARS

99

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/07/2026

11:00 AM

1:57 PM

ANNOUNCED

ANNUAL

2506423690


DocumentDocument-Date
SANITATION INSPECTION 11/25/2025
FIRE/SAFETY INSPECTION 10/02/2025
NOTICE OF PARENTAL RESPONSIBILITY 11/13/2025




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 22
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Caregivers Elizabeth Kramback and Nikki Bennett present with six children one-4 month, two-5month, one-6 month, two-12 month.
1 4 INFANTS AND TODDLERS Caregiver Charity Tippen present at naptime present with four children 12-24 months
1 7 MIXED Caregiver Rachel Schweighausen present during naptime with seven children four-2 year old, three-3 years.
2 0 NO CHILDREN IN ATTENDANCE Director Paige Sigman and cook Tina Beaulieu with children in attendance.
1 5 PRESCHOOL Caregiver Shyanne Daniel present with five children: two-3year old, three-4year

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
TB reports on file were older than 24 months for Misty Martin.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
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
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Violation
 Provider Comments
Violation
The facility was not clean, free of unsanitary conditions and free of pests as evidenced by Changing table in 1 year old class room had debris on the table .
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (1) states: The premises of facilities shall be clean and free of unsanitary conditions and observable insects, spiders and rodents.
Correction Required
The facility shall be clean, sanitary and pest free.

Correction Verification
Corrected on Site

Compliance Date
1/7/2026
Violation
The facility was not clean, free of unsanitary conditions and free of pests as evidenced by tables in the 3/4 year old class room had sticky spots and crumbs on them.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (1) states: The premises of facilities shall be clean and free of unsanitary conditions and observable insects, spiders and rodents.
Correction Required
The facility shall be clean, sanitary and pest free.

Correction Verification
Corrected on Site

Compliance Date
1/7/2026
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Compliance
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance