DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ST. LOUIS CHILDREN'S HOSPITAL

000168492

(314) 454-4700

321 S NEWSTEAD AVE
ST LOUIS
MO  63110-1189

ST. LOUIS CHILDREN'S HOSPITAL



 

ZITKO, MARGARET A

margaret.zitko@bjc.org

Incorporated

JULIE PLEIMANN

6 WEEKS - 10 YEARS

235

GROUP HOME AND CENTER

51 CHILDREN UNDER 12 MONTHS; 80 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/15/2026

9:30 AM

12:17 PM

UNANNOUNCED

COMPLIANCE MONITORING

2513430573


DocumentDocument-Date
LOCAL BUILDING APPROVAL 05/15/2026
LOCAL ZONING APPROVAL 05/15/2026
SAFE SLEEP POLICY 04/15/2016
ARTICLES OF INCORPORATION 02/27/2015
DAILY SCHEDULE 05/22/1995
DIAGRAM/INDOOR 05/22/1995
DIAGRAM/OUTDOOR 05/22/1995
DISCIPLINE POLICIES 05/22/1995
JOB RESPONSIBILITIES 05/22/1995
SAMPLE FORMS 05/22/1995
SAMPLE WEEKLY MENU 05/22/1995
CHILD CARE PRACTICES 05/22/1995
POLICIES 05/22/1995
APPLICATION 01/09/2019
EQUIPMENT LIST 04/01/2026
FIRE/SAFETY INSPECTION 01/12/2026
CERTIFICATE OF GOOD STANDING 05/14/2025
ANNUAL DECLARATION 04/01/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/01/2026




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
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 26
Total Children 98
StaffChildClass AgeNote
3 9 INFANTS AND TODDLERS Patty Baker, Yasse Dick-Blewoussi and Holly Ellis were present with nine children who were 14-months-old through 2-years-old. The children were in the indoor play space.
2 6 INFANTS AND TODDLERS Natasha Towers and LaQuita Thomas were present with six children who were 23-months-old through 2-years-old.
1 4 INFANTS AND TODDLERS Abigail Barron was present with four children who were 9-months-old through 11-months-old.
2 8 INFANTS AND TODDLERS Maria Johnson and Ruby Rosa Dyson were present with eight children who were 20-months-old through 2-years-old.
3 9 INFANTS AND TODDLERS Arielle Hairston,Shannon Jones and Alyssa Douglas were present with nine children who were 6-months old through 17-months old. They were on the outdoor play space.
2 6 MIXED Becca Tensing and Sadaqat Faroog were present with six children who were 2-years-old through 3-years-old. Five were 2-years-old.
1 8 MIXED Kristina Lombardo was present with eight chldren who were 2-years-old through 3-years-old. Four were 2-years-old.
4 0 NO CHILDREN IN ATTENDANCE Director Margie Zitko, Preschool Specialist Pam Butler, I/T Specialist Melissa Engleman and Teacher Colleen Vinson were present with no children in attendance.
2 12 PRESCHOOL Zack Clingenpeel and Radhika Jha were present with twelve children who were 3-years-old through 4-years-old.
2 14 PRESCHOOL Chris McNeary and LaVonda Robinson were present with fourteen children who were 3-years-old through 4-years-old.
2 12 PRESCHOOL Greg McCrary and Faith Gorrell were present with twelve children who were 4-years-old through 5-years-old.
2 10 TWO YEAR OLDS Pamela Brooks and Jamia Jones were present with ten 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
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Dawn Soap and Bleach Spray. The item(s) was/were located an unlocked cabinet and in the adult bathroom.
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
5/15/2026
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
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Not Observed
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