DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

NORTH CROSS EARLY CHILDHOOD PROGRAM

000832380

(816) 459-8826

1321 NE VIVION RD
KANSAS CITY
MO  64118-5934

NORTH CROSS UNITED METHODIST CHURCH



 

FORD, TRACI KAY

TRACI@NORTHCROSSUMC.ORG


ERELINE CLEMENTSSTUBBS

6 WEEKS - 12 YEARS

48

LICENSE EXEMPT PROGRAM

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/25/2026

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2520595859


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 09/04/2025
SANITATION INSPECTION 02/24/2026
FIRE/SAFETY INSPECTION 04/23/2026




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: NA

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
 Provider Comments
Violation
An approved Notice of Parental Responsibility was not on file for five child(ren).
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.
Correction Required
The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

Correction Verification
Submit Documentation

Compliance Date
9/21/2026
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 2025 annual summary report showing immunization status of each child enrolled was not submitted by January 15.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
9/21/2026
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
Compliance
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
 Provider Comments
Violation
Equipment in the outdoor play area, the climber, was not in good condition as evidenced by chipping paint.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

Correction Verification
Submit Documentation

Compliance Date
9/21/2026
Violation
The equipment, a climber and see-saw on south playground, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by not enough fall zone material present.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification
Submit Documentation

Compliance Date
9/21/2026
Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 4 inches.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.

Correction Verification
Return Inspection

Compliance Date
9/21/2026
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
Subsidy Requirements
Compliance