DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

STRICTLY PEDIATRICS CENTER, INC.

000791200

(314) 439-0800

56 WORTHINGTON ACCESS DR
MARYLAND HEIGHTS
MO  63043

STRICTLY PEDIATRICS CENTER, INC.



 

BREEN, HALEY MARIE

mhdirector@strictlypediatricscenter.com

Incorporated

ADDISON P BAKER

6 WEEKS - 12 YEARS

192

GROUP HOME AND CENTER

72 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/13/2026

9:21 AM

12:42 PM

UNANNOUNCED

COMPLIANCE MONITORING

2506532187


DocumentDocument-Date
SAMPLE FORMS 06/10/1996
LOCAL ZONING APPROVAL 02/09/1996
LINES OF ADMINISTRATIVE AUTHORITY 06/10/1996
JOB RESPONSIBILITIES 06/10/1996
DIAGRAM/OUTDOOR 12/06/2005
DIAGRAM/INDOOR 09/17/2012
DAILY SCHEDULE 06/10/1996
CHILD CARE PRACTICES 06/10/1996
ARTICLES OF INCORPORATION 06/10/1996
POLICIES 11/29/2017
DISCIPLINE POLICIES 11/29/2017
SAMPLE WEEKLY MENU 11/29/2017
APPLICATION 10/23/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/09/2011
SAFE SLEEP POLICY 01/21/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 06/18/2020
STAFF SHEET 11/24/2020
CERTIFICATE OF GOOD STANDING 01/05/2023
DIRECTOR'S QUALIFICATIONS 01/29/2024
FIRE/SAFETY INSPECTION 10/08/2024
SANITATION INSPECTION 10/30/2025
EQUIPMENT LIST 12/17/2025
ANNUAL DECLARATION 12/17/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/17/2025
LOCAL BUILDING APPROVAL 01/13/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 8
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 28
Total Children 104
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Teacher, Rachel Robinson, present with three children ages 18-months-old to 21-months-old.
1 4 INFANTS AND TODDLERS Teacher, Breaunna webb, present with four children ages 17-months-old to 19-months-old.
1 4 INFANTS AND TODDLERS Teacher, Tamara Finkeldei, present with four children ages 3-months-old to 15-months-old.
1 4 INFANTS AND TODDLERS Teacher, Tara Braddy, present with four children ages 7-months-old to 12-months-old.
1 4 INFANTS AND TODDLERS Teacher, Alexis Peasel, present with four children ages 13-months-old to 15-months-old.
5 13 MIXED Teachers, Alyssa Bauer, Hannah Jolly, Lauren Bockerstett, Kayla Lawson, and Emelia Leesmann, present in the SAMS classroom with 13 children ages 9-months-old to 3-years-old. Occupational therapist Tracy Hope-Chisom, occupational therapy student Jarae Tipton, and volunteer Sally Gaan were also present in the classroom, not counted in ratio.
3 16 MIXED Teachers, Lori Pratt, Adrianna McCullough, and Megha Survanyashi, present with 16 children ages 2-years-old to 3-years-old.
6 0 NO CHILDREN IN ATTENDANCE Director Haley Breen, assistant director Kassi Ross, receptionist Christina Keeven, infant/toddler coordinator Danielle Dorris, nursing director Ellen Girresch, and cook Jordan Fields all present with zero children in attendance.
1 10 PRESCHOOL Teacher, Tracy Fairbanks, present with 10 children ages 3-years-old to 4-years-old.
1 7 PRESCHOOL Teacher, Sara Duncan-Tucker, present with seven children ages 4-years-old to 5-years-old.
3 16 PRESCHOOL Teachers, Ashley Axelson, Ambria Williams, and Jmyah Johnson, present with 16 children ages 4-years-old to 5-years-old.
2 14 TWO YEAR OLDS Teachers, Aunestie Cook and Samantha Pratt, present with 14 children all ages 2-years-old.
1 5 TWO YEAR OLDS Teacher, Dacotah Misko, present with five children all ages 2-years-old.
1 4 TWO YEAR OLDS Teacher, Lissa Jackson, present with four children all ages 2-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
Violation
 Provider Comments
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The ceilings located in the mid-school 2 classroom was/were not in good condition as evidenced by ceiling tile over the loft had visible water damage.
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
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 the bathroom in the mid-school classroom.
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
Corrected on Site

Compliance Date
1/13/2026
Violation
The facility's outdoor space was not safe for children's activities as evidenced by outside the preschool B classroom is a large overgrowth of branches growing through the staircase from the classroom to the playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

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 the infant 1 classroom attached and against the wall.
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

Violation
The facility's outdoor space was not safe for children's activities as evidenced by the toddler playground has an approximately 3-inch piece of wood that is broken and hanging with sharp edges inside the wooden structure.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained 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
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the art room was missing a copy of the emergency plans.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
1/13/2026
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically the toddler 3 classroom.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
The facility must post all emergency numbers as required.

Correction Verification
Corrected on Site

Compliance Date
1/13/2026
Violation
The facility's evacuation route diagram was not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
1/13/2026
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a crib mattress/pad was not in good condition in that two mattresses in the infant 1 classroom had tears in the surface.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Corrected on Site

Compliance Date
1/13/2026
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: Alyssa Bauer needs 1 hour, Lauren Bockerstett needs 1 hour, Tara Braddy needs 4.5 hours, Ellen Girresch needs 3 hours, Jmyah Johnson needs 0.50 hours, Kayla Lawson needs 2 hours, Dacotah Misko needs 2 hours, and Jennifer Nguyen needs 3 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Jmyah Johnson 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 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Jmyah Johnson.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
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