DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

HILLSIDE PRESCHOOL

000823694

(636) 343-1210

800 GRAVOIS RD
FENTON
MO  63026

FENTON UNITED METHODIST CHURCH

800 GRAVOIS RD
FENTON
MO  63026

MOHAN, MARTHA


FENTONUMC@SBCGLOBAL.NET

N/A


RHONDA DELMAIN

N/A

50

LICENSE EXEMPT PROGRAM

 
Inspection Information

03/29/2013

N/A

N/A

N/A

COMPLIANCE VERIFICATION

5127


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 02/07/2013
SANITATION INSPECTION 11/08/2012
FIRE/SAFETY INSPECTION 12/07/2012




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

 
210.252.1 Sanitation Inspection
Compliance
210.252.1. Fire/Safety Inspection
Compliance
210.254.1 Notice of Parental Responsibility
Compliance
UC19 CSR 30-60.020 (5) CRU or Family Care Safety Registry (FCSR) on file
Violation
 Provider Comments
Violation
Sue Hodschayan needs a background check.
Licensing Rule Reference
UC19 CSR 30-60.020 (5) CRU or Family Care Safety Registry (FCSR) on file states: UC19 CSR 30-60.020 (5) CRU or Family Care Safety Registry (FCSR) on file
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/26/2013
UC19 CSR 30-60.050 (1)(A) Caregivers' provide care conducive to health and safety of children.
Compliance
UC19 CSR 30-60.050 (1)(C)-A Prior to starting work, caregivers have read rules per signed statement
Compliance
UC19 CSR 30-60.050 (1)(C)-B Caregivers' signed statements on file
Compliance
UC19 CSR 30-60.050-D Ratio according to NPR (statute)
Compliance
UC19 CSR 30-60.050-E Discipline according to NPR (statute).
Compliance
UC19 CSR 30-60.060 (1)(A) and (9) Communicable diseases reported to parents and local health department as required.
Compliance
UC19 CSR 30-60.060 (1)(B)-B Caregivers use proper handwashing techniques as required, using soap and warm, running water
Compliance
UC19 CSR 30-60.060 (1)(B)-C Caregivers teach and require children to use proper handwashing techniques at appropriate times using soap and warm, running water.
Compliance
UC19 CSR 30-60.060 (1)(C) Caregivers shall not work when ill.
Compliance
UC19 CSR 30-60.060 (1)(D) Caregivers' physical assessment reports on file as required
Violation
 Provider Comments
Violation
Kristie Rosenberg needs an examination date on medical.
Licensing Rule Reference
UC19 CSR 30-60.060 (1)(D) Caregivers' physical assessment reports on file as required states: UC19 CSR 30-60.060 (1)(D) Caregivers' physical assessment reports on file as required
Correction Required


Correction Verification
Submit Documentation

Compliance Date
3/26/2013
UC19 CSR 30-60.060 (1)(E) No smoking or tobacco products in any child care space while children are in care
Compliance
UC19 CSR 30-60.060 (10)(A) Medication administered only with dated, written permission of parent, stating the length of time medication may be given.
Compliance
UC19 CSR 30-60.060 (10)(B) Prescription and nonprescription medication in original container; labeled with child's name, physician's name, and directions for administration (including times and dosage)
Compliance
UC19 CSR 30-60.060 (10)(C) and (D) Medication inaccessible to children
Compliance
UC19 CSR 30-60.060 (10)(E) Medication refrigerated as required
Compliance
UC19 CSR 30-60.060 (10)(F) Unused medication disposed of immediately or returned to parent when no longer needed.
Compliance
UC19 CSR 30-60.060 (10)(G) Date, time, quantity and name of person giving medication recorded promptly and filed in child's record
Compliance
UC19 CSR 30-60.060 (11)-1 Parent notified immediately
Compliance
UC19 CSR 30-60.060 (11)-2 Parent's written emergency instructions followed.
Compliance
UC19 CSR 30-60.060 (11)-3 Accident or injury documented with date, time, circumstances, signature of caregiver and supervisor.
Compliance
UC19 CSR 30-60.060 (11)-4 Copy of accident or injury document and necessary explanation given to parent the day of the accident or injury
Compliance
UC19 CSR 30-60.060 (11)-5 Copy of accident or injury document filed in child's record
Compliance
UC19 CSR 30-60.060 (2) and (4) Children's physical assessment reports on file as required
Violation
 Provider Comments
Violation
One child's file needs a state approved medical.
Licensing Rule Reference
UC19 CSR 30-60.060 (2) and (4) Children's physical assessment reports on file as required states: UC19 CSR 30-60.060 (2) and (4) Children's physical assessment reports on file as required
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/28/2013
UC19 CSR 30-60.060 (3) Children's immunization requirements met
Violation
 Provider Comments
Violation
One child's file needs documentation that required immunizations have been received, are in progress, or an exemption card on file.
Licensing Rule Reference
UC19 CSR 30-60.060 (3) Children's immunization requirements met states: UC19 CSR 30-60.060 (3) Children's immunization requirements met
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/28/2013
UC19 CSR 30-60.060 (5) Children observed for contagious diseases/ other signs of illness on arrival and throughout each day
Compliance
UC19 CSR 30-60.060 (6) Parent/guardian contacted when signs of illness are observed.
Compliance
UC19 CSR 30-60.060 (7) Child sent home when required by symptom(s) of illness; parent contact recorded and filed
Compliance
UC19 CSR 30-60.060 (8) Ill child isolated/caregiver in close proximity until parent arrives.
Compliance
UC19 CSR 30-60.070 (1)(A)(1) Child admitted and dismissed by caregiver
Compliance
UC19 CSR 30-60.070 (1)(A)(2) Napping children shall be seen/heard.
Compliance
UC19 CSR 30-60.070 (1)(A)(3) Alert to needs of thirst, hunger, diaper change, agression by other children and attention
Compliance
UC19 CSR 30-60.070 (1)(D) Animals pose no threat to the health or safety of children in care.
Compliance
UC19 CSR 30-60.070 (1)(E) Children monitored in bathroom.
Compliance
UC19 CSR 30-60.070 (1)(F)(1)-1 Surface is safe, waterproof and washable.
Compliance
UC19 CSR 30-60.070 (1)(F)(1)-2 Diapering area located so caregiver can supervise group of children
Compliance
UC19 CSR 30-60.070 (1)(F)(2) One diapering surface in infant/toddler unit for each group of 8 infants/toddlers and each group of 16 two-year olds
Compliance
UC19 CSR 30-60.070 (1)(F)(3) Diapering surface in preschool unit if child(ren) not toilet trained
Compliance
UC19 CSR 30-60.070 (1)(F)(5) Parent/caregiver agree on when to begin toilet training.
Compliance
UC19 CSR 30-60.070 (1)(F)(6) Extra clothing available for children
Compliance
UC19 CSR 30-60.070 (1)(G) Facility responsible for assuring meals served according to nutrition standards
Compliance
UC19 CSR 30-60.070 (1)(I)(1) Kitchens not used for play activities unless part of the supervised learning program.
Compliance
UC19 CSR 30-60.070 (1)(I)(2) Kitchens not used for napping or as passageways for children
Compliance
UC19 CSR 30-60.070 (1)(I)(3) Kitchens separated from other areas by walls or partitions at least 36" high.
Compliance
UC19 CSR 30-60.070 (1)(I)(4) No animals in food preparation or food storage areas.
Compliance
UC19 CSR 30-60.080 (2)(D) Outside doors not locked
Compliance
UC19 CSR 30-60.080 (5) Fire/tornado drills conducted/recorded
Violation
 Provider Comments
Violation
During this inspection, there was no documenation that fire drills have been conducted every month; there is no documentation that disaster drills have been performed every three months.
Licensing Rule Reference
UC19 CSR 30-60.080 (5) Fire/tornado drills conducted/recorded states: UC19 CSR 30-60.080 (5) Fire/tornado drills conducted/recorded
Correction Required


Correction Verification
Submit Documentation

Compliance Date
3/11/2013
UC19 CSR 30-60.080 (5)(A) Evacuation/emergency plan posted
Compliance
UC19 CSR 30-60.090 (1) Clean, no insects, spiders, rodents.
Compliance
UC19 CSR 30-60.090 (1)(B) Toys sanitized.
Compliance
UC19 CSR 30-60.090 (1)(D) Personal items labeled with childs name
Compliance
UC19 CSR 30-60.090 (2)(A) and (B) Bathrooms clean and odor free; in working order; convenient for use
Compliance
UC19 CSR 30-60.090 (2)(C) Soap, paper towels or air dryer, toilet paper accessible
Compliance
UC19 CSR 30-60.090 (2)(D) Potty chair emptied, cleaned and sanitized after each use
Compliance
UC19 CSR 30-60.090 (2)(E) Bathrooms enclosed with full walls and solid doors
Compliance
UC19 CSR 30-60.090 (3)(B) Diapering creams, powders or other products approved or supplied by the parent/labeled with the child's name
Compliance
UC19 CSR 30-60.090 (3)(C) Diapering surface sanitized after each use
Compliance
UC19 CSR 30-60.090 (3)(D) Diapers and wet clothing changed promptly when soiled or wet.
Compliance
UC19 CSR 30-60.090 (3)(E) Diapers discarded into airtight container and removed daily; cloth diapers in airtight bags, removed daily
Compliance
UC19 CSR 30-60.090 (3)(F)-5 Diapering/handwashing area separate from food service area
Compliance
UC19 CSR 30-60.090 (4)(A) Catered food from approved source
Compliance
UC19 CSR 30-60.090 (4)(B) Sufficient equipment in kitchen
Compliance
UC19 CSR 30-60.090 (4)(D)-G Kitchen floor approved surface
Compliance
UC19 CSR 30-60.090 (4)(D)-I Food items covered/packaged/protected from contamination
Compliance
UC19 CSR 30-60.090 (5) Proper storage and service
Compliance
UC19 CSR 30-60.090 (8) Adequate refuse disposal and storage
Compliance
UC19 CSR 30-60.100 (1) Premises safe, suitable.
Violation
 Provider Comments
Violation
Ten outlets in the downstairs ploay area do not have safety plugs in use.
Licensing Rule Reference
UC19 CSR 30-60.100 (1) Premises safe, suitable. states: UC19 CSR 30-60.100 (1) Premises safe, suitable.
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/26/2013
UC19 CSR 30-60.100 (1)(A) Children shall have no access to unapproved areas.
Compliance
UC19 CSR 30-60.100 (1)(B) Handrails and guardrails as required. spacing at bars no more than 3 1/2".
Compliance
UC19 CSR 30-60.100 (1)(C) Approved safety gates and doors as required.
Compliance
UC19 CSR 30-60.100 (1)(D) Hazardous material(s) inaccessible to children and stored to prevent cross-contamination of food and food related items.
Violation
 Provider Comments
Violation
Hazardous items are accessible to children: paint can under the sink in the passageway between the two upstairs classrooms. During this inspection, children used this area as a passageway between the two rooms.
Licensing Rule Reference
UC19 CSR 30-60.100 (1)(D) Hazardous material(s) inaccessible to children and stored to prevent cross-contamination of food and food related items. states: UC19 CSR 30-60.100 (1)(D) Hazardous material(s) inaccessible to children and stored to prevent cross-contamination of food and food related items.
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/26/2013
UC19 CSR 30-60.100 (1)(E) Weapons/ammunition stored in locked cabinet or closet.
Compliance
UC19 CSR 30-60.100 (1)(F) Walls, ceilings, floors in good condition and easily cleaned.
Compliance
UC19 CSR 30-60.100 (2)(A) Adequate lighting.
Compliance
UC19 CSR 30-60.100 (2)(B) Room temperature
Compliance
UC19 CSR 30-60.100 (2)(C) Working telephone available.
Compliance
UC19 CSR 30-60.100 (2)(D) Emergency numbers posted
Compliance
UC19 CSR 30-60.100 (2)(E)(3) If in permanent residence, and more than 10 children, child care area separate from living quarters.
Compliance
UC19 CSR 30-60.100 (2)(E)-1 45 square feet usable floor space per infant/toddler
Compliance
UC19 CSR 30-60.100 (2)(E)-5 35 square feet usable floor space per preschool/school-age child.
Compliance
UC19 CSR 30-60.100 (2)(F)(1)-2 Floor covered with material that can be cleaned
Compliance
UC19 CSR 30-60.100 (2)(F)(1)-3 Carpets/rugs spot cleaned when soiled.
Compliance
UC19 CSR 30-60.100 (2)(F)(1)-4 Carpets/rugs sanitized when contaminated with body fluids
Compliance
UC19 CSR 30-60.100 (2)(F)(2) If more than 20 children or more than 4 infants/toddlers, play, sleeping and bathroom space separated from older children by floor to ceiling walls
Compliance
UC19 CSR 30-60.100 (2)(F)(3)-7 No more than 24 infants/toddlers per room
Compliance
UC19 CSR 30-60.100 (2)(F)(3)-8 Stable partitions at least 4' high used to separate I-T and 2-year old groups within a room.
Compliance
UC19 CSR 30-60.100 (2)(F)(4) No more than 8 infants/toddlers or 16 two-year olds in a group
Compliance
UC19 CSR 30-60.100 (3)(A) Flush toilet/adjacent handwashing sink for every 20 preschool/school-age children
Compliance
UC19 CSR 30-60.100 (3)(C) No locks or latches for children below first grade
Compliance
UC19 CSR 30-60.100 (3)(D) Separate bathroom/stall for caregivers if over 50 children
Compliance
UC19 CSR 30-60.100 (3)(E) Separate girls and boys bathroom when more than 20 children including school-age
Compliance
UC19 CSR 30-60.100 (3)(F)-5 Potty chair, junior commode or adapter in bathroom for every 4 children being trained
Compliance
UC19 CSR 30-60.100 (3)(F)-6 For infants/toddlers and children not toilet trained, one toilet and one adjacent handwashing sink available for every 24 children in an infant/toddler unit.
Compliance
UC19 CSR 30-60.100 (4)(A)-1 Outdoor play area on or adjoining property
Compliance
UC19 CSR 30-60.100 (4)(A)-2 Fenced if more than 10 children or to protect from hazard.
Compliance
UC19 CSR 30-60.100 (4)(A)-3 Fence is at least 42" high
Compliance
UC19 CSR 30-60.100 (4)(A)-4 Openings in fence no greater than 31/2".
Compliance
UC19 CSR 30-60.100 (4)(B) Play area 75 square feet per child for one-third capacity/minimum 750 square feet
Compliance
UC19 CSR 30-60.100 (4)(C) Play area safe, well maintained and free of hazards; proper drainage
Compliance
UC19 CSR 30-60.100 (4)(D) Impact absorbent materials in fall zone for any equipment over 24" and higher
Compliance
UC19 CSR 30-60.100 (4)(E) Infant/toddler outdoor play space separate area or used at different time from older children (if more than 20 children or more than 4 infants/toddlers).
Compliance
UC19 CSR 30-60.100 (4)(F) Swimming and wading pools fenced, filtered, gate locked, treated, cleaned and maintained
Compliance
UC19 CSR 30-60.100 (4)(G) Play equipment well maintained, safely constructed, free of sharp, loose, pointed parts; stationary equipment anchored
Compliance
UC19 CSR 30-60.100 (4)(H) No part of play equipment from which child can fall exceeds 6'.
Compliance
UC19 CSR 30-60.100 (5)(A)-1 Individual mat, cot or bed with individually assigned sheet and blanket for each child who naps.
Compliance
UC19 CSR 30-60.100 (5)(A)-2 Mats appropriate size, non-absorbent, use only on carpet, washed and sanitized weekly or before used by another child.
Compliance
UC19 CSR 30-60.100 (5)(B) Bedding laundered weekly or when soiled and before use by another child
Compliance
UC19 CSR 30-60.100 (5)(C) At least a 2' aisle on one long side of all sleeping equipment
Compliance
UC19 CSR 30-60.100 (5)(D) Individual crib/playpen, no stacked cribs, no mats for infants, mats for toddlers with parental consent
Compliance
UC19 CSR 30-60.100 (5)(D)(1) Cribs/playpen rail spokes no more than 23/8" apart
Compliance
UC19 CSR 30-60.100 (5)(D)(2)-7 Crib mattress/playpen sized properly, waterproof, in good condition clean and dry
Compliance
UC19 CSR 30-60.100 (5)(D)(2)-8 Sheets and covers changed when soiled or wet.
Compliance
UC19 CSR 30-60.100 (6) Sufficient chairs and tables for meals and activities
Compliance
UC19 CSR 30-60.100 (7)-10 Indoor play equipment provided; clean, in good condition/safe
Compliance
UC19 CSR 30-60.100 (7)-11 Toys, parts of toys, or other materials do not present a choking threat
Compliance
UC19 CSR 30-60.110 (1)(A) Written parental consent
Compliance
UC19 CSR 30-60.110 (1)(B) Parents informed
Compliance
UC19 CSR 30-60.110 (1)(D) Seat belt/child restraint device in use in accordance with missouri law
Compliance
UC19 CSR 30-60.110 (1)(E) Identifying information in vehicle
Compliance
UC19 CSR 30-60.110 (1)(F) Children seated while vehicle moving
Compliance
UC19 CSR 30-60.110 (1)(G)-F Children enter and leave vehicle safely
Compliance
UC19 CSR 30-60.110 (1)(G)-G Children not left unattended
Compliance
UC19 CSR 30-60.110 (1)(H) Head counts taken as required
Compliance
UC19 CSR 30-60.110 (2) Licensed driver 18 years of age or older.
Compliance
UC19 CSR 30-60.110 (3)-J Vehicle licensed in accordance with missouri law
Compliance
UC19 CSR 30-60.110 (3)-K No transportation in camper, trailer, back of trucks.
Compliance
UC19 CSR 30-60.120 (1)-A Admitting procedure for each child in care with plan for ill children and emergency medical care.
Compliance
UC19 CSR 30-60.120 (1)-D Special care plan on file for child with special health needs identified through a physical assessment by a qualified medical source.
Compliance
UC19 CSR 30-60.120 (1,2 and 4) Individual file with required information for each child. (enrollment form, immunizations, medical)
Violation
 Provider Comments
Violation
Six children's files need completed enrollment forms.
Licensing Rule Reference
UC19 CSR 30-60.120 (1,2 and 4) Individual file with required information for each child. (enrollment form, immunizations, medical) states: UC19 CSR 30-60.120 (1,2 and 4) Individual file with required information for each child. (enrollment form, immunizations, medical)
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/28/2013
UC19 CSR 30-60.120 (6) Required records filed in an unlocked place known to caregivers; accessible for inspection by the SCCR; kept on premises during operating hours.
Compliance
UC19 CSR 30-60.120-C Notice of parental Responsibility signed by parent and retained in facility files. (Statute)
Compliance
UC20 CSR 30-60.060 (1)(D)(3) Caregivers' TB test results on file as required.
Violation
 Provider Comments
Violation
Kristie Rosenberg and Sue Hodschayan need tb results on file.
Licensing Rule Reference
UC20 CSR 30-60.060 (1)(D)(3) Caregivers' TB test results on file as required. states: UC20 CSR 30-60.060 (1)(D)(3) Caregivers' TB test results on file as required.
Correction Required


Correction Verification
Submit Documentation

Compliance Date
2/28/2013