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

03/03/2026

10:55 AM

12:38 PM

UNANNOUNCED

COMPLIANCE MONITORING

2509068678


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 01/06/2026
EQUIPMENT LIST 02/26/2026
SANITATION INSPECTION 12/18/2025
CERTIFICATE OF GOOD STANDING 03/03/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/26/2026
ANNUAL DECLARATION 02/26/2026
LOCAL BUILDING APPROVAL 06/09/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 6
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 17
Total Children 78
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Abigail Pyle and Kailey Kehner, teachers present with eight children, ages 15-months-old to 19-months-old.
1 3 INFANTS AND TODDLERS Alyssa Kehner, teacher present with three children, ages 15-months-old to 18-months-old.
2 7 INFANTS AND TODDLERS Mariko Gilkey and Maureen Gage, teachers present with seven children, ages 18-months-old to 24-months-old.
2 7 INFANTS AND TODDLERS Angela Merckel and Samantha Price, teachers present with seven children, ages 3-months-old to 9-months-old.
1 2 INFANTS AND TODDLERS Diamond Smith, teacher present with two children, ages 9-months-old to 12-months-old.
3 0 NO CHILDREN IN ATTENDANCE Julia Meckfessel, director, Margaret Pierce, assistant director, and Carolyn Stevens, chef present with zero children.
1 10 PRESCHOOL Janice Caltaldi, board chairperson present with ten children, ages 4-years-old to 5-years-old.
1 10 PRESCHOOL Yuko Ito, teacher present with ten children, ages 4-years-old to 5-years-old.
2 14 PRESCHOOL Alexandria Fairbanks and Makaya Mahaney, teachers present with fourteen children, ages 2-years-old to 3-years-old.
1 10 PRESCHOOL Laura Bell, teacher present with ten children, ages 3-years-old to 4-years-old.
1 7 PRESCHOOL Kristin Gilbers, teacher present with seven children, age 3-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
Evidence of local building approval was not received.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable.
Correction Required
The facility shall submit evidence of local building/zoning approval as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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
Violation
 Provider Comments
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Alyssa Kehner needs 1 hour. Samantha Price needs 4 hours. Abigail Pyle needs one hour. Claire Haley needs 4.5 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

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: Jennifer DePriest needs 12 hours. Alexandira Fairbanks needs 5.5 hours. Nadia Hempen needs 2 hours. Yuko Ito needs 8 hours. Sidney King needs 10 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

Violation
Safe sleep training was not completed within the past 3 years for the following staff Yuko Ito and Samantha Price.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Zayuanna Brady, Jennifer DePriest, and Sidney King did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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
Not Observed
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were older than five (5) years for Samantha Price, Kathleen Stafford, and Carolyn Stevens.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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