MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
ST. LOUIS CHILDREN'S HOSPITAL

Facility DVN
001090608

Phone
(314) 362-0777

Physical Address
610 S TAYLOR AVE
ST LOUIS
MO 63110-1035

Owner
ST. LOUIS CHILDREN'S HOSPITAL

Mailing Address

Provider/Director
NAPIER, TRACI LYNNE

E-mail Address
traci.napier@bjc.org

Incorporated
Incorporated

Child Care Specialist
JULIE PLEIMANN

Age Range
6 WEEKS - 12 YEARS

Capacity
264

Facility Type
GROUP HOME AND CENTER

Limitations
120 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
04/15/2026

Arrival Time
11:15 AM

Departure Time
3:09 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2511686476

Document	Document-Date
FIRE/SAFETY INSPECTION	01/12/2026
LOCAL ZONING APPROVAL	04/15/2026
SANITATION INSPECTION	01/29/2026
DIRECTOR'S QUALIFICATIONS	04/16/2025
APPLICATION	02/04/2025
DIAGRAM/INDOOR	03/04/2025
DIAGRAM/OUTDOOR	03/04/2025
EQUIPMENT LIST	03/02/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/02/2026
SAMPLE WEEKLY MENU	04/08/2025
SAFE SLEEP POLICY	04/08/2025
LOCAL BUILDING APPROVAL	04/15/2026
ARTICLES OF INCORPORATION	04/14/2025
DAILY SCHEDULE	04/03/2025
JOB RESPONSIBILITIES	04/08/2025
LINES OF ADMINISTRATIVE AUTHORITY	04/08/2025
DISCIPLINE POLICIES	04/08/2025
CHILD CARE PRACTICES	04/08/2025
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/08/2025
POLICIES	04/03/2025
ANNUAL DECLARATION	03/02/2026

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 35

Total Children 142

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Casey Thompson and Misy Holland were present with six children who were 6-months-old through 14-months-old.
2	6	INFANTS AND TODDLERS	Connie Ford and Miles Smith were present with six children who were 21-months-old through 2-years-old.
2	7	INFANTS AND TODDLERS	Mary Nestel and Karen Esswein were present with seven children who were 8-months-old through 13-months-old.
2	7	INFANTS AND TODDLERS	Amori Brown and Elijah Soto were present with seven children who were 13-months-old through 19-months-old.
2	7	INFANTS AND TODDLERS	Claudia Gonzalez and Christine McCoy were present with seven children who were 22-months-old through 2-years-old.
2	6	INFANTS AND TODDLERS	Makayla Jones and Kristine Dagenais were present with six children who were 4-months-old through 9-months-old.
2	6	INFANTS AND TODDLERS	Kayla Walker and Elisa Duck were present with six children who were 6-weeks-old through 4-months-old.
2	7	INFANTS AND TODDLERS	Ashley Briggs and Takisha Duncan were present with seven children who were 18-months-old through 21-months-old.
2	13	MIXED	Layla Salmon and Kayla Prater were present with thirteen children who were 2-years-old through 3-years-old, including two who were 2-years-old.
2	12	MIXED	Ella House and Fannie Parker were present with twelve children who ere 2-years-old through 3-years-old, including seven who were 2-years-old.
4	0	NO CHILDREN IN ATTENDANCE	Director Traci Napier, Infant Toddler Specialist Gail Bennett, Chef Ericka Taylor and Specialist Lori Nelson were present with zero children in attendance.
2	13	PRESCHOOL	Victoria Jackson and Annika Krapf were present with thirteen children who were all 3-years-old.
3	17	PRESCHOOL	Ivy Ledbetter, Kelly Murphy and Julie Lepp were present with seventeen children who were 4-years-old through 5-years-old.
2	13	PRESCHOOL	Kelly Holloran and John Mathews were present with thirteen children who were 3-years-old through 4-years-old.
2	15	PRESCHOOL	Tanisha Humphries and Suzanne Bench were present with fifteen children who were all 3-years-old.
2	7	TWO YEAR OLDS	Patti Huelsing and Christina Nateway were present with seven children who were all 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

Compliance

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

Violation

	Provider Comments
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 4/15/2026

5 CSR 25-500.092 Furniture, Equipment and Materials

Compliance

5 CSR 25-500.102 Personnel

Violation

	Provider Comments
Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Carynton Hobson Licensing Rule Reference 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. 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

Compliance

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