MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
STRAY DOG THEATRE

Facility DVN
002118167

Phone
(314) 276-9039

Physical Address
4221 SHAW BLVD
ST LOUIS
MO 63110

Owner
STRAY DOG THEATRE

Mailing Address
2348 TENNESSEE AVE
ST LOUIS
MO 63104

Provider/Director
AMPADU, JUMAH A

E-mail Address
RWOGDEN@STRAYDOGTHEATRE.ORG

Incorporated
Incorporated

Child Care Specialist
CARRIE ANN WILLIAMS

Age Range
5 YEARS - 17 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/18/2016

Arrival Time
3:50 PM

Departure Time
4:27 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2278534464

Document	Document-Date
ARTICLES OF INCORPORATION	12/19/2011
CHILD CARE PRACTICES	12/19/2011
LINES OF ADMINISTRATIVE AUTHORITY	12/19/2011
JOB RESPONSIBILITIES	12/19/2011
SAMPLE FORMS	12/19/2011
SAMPLE WEEKLY MENU	12/19/2011
DAILY SCHEDULE	12/19/2011
POLICIES	12/19/2011
DIRECTOR'S QUALIFICATIONS	08/17/2012
CERTIFICATE OF GOOD STANDING	09/12/2012
STAFF SHEET	09/12/2012
EQUIPMENT LIST	09/12/2012
APPLICATION	09/12/2012

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 3

Total Children 29

Staff	Child	Class Age	Note
3	29	SCHOOL AGE	29 children age 5 years to 12 years present with Ms. Fannoy, Ms. Kind and Ms. Ryan


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 License Renewal Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Violation
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Violation
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance