MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CLEARWATER LICENSED DAY CARE CENTER, INC.

Facility DVN
000174083

Phone
(573) 223-7494

Physical Address
113 PIEDMONT AVE
PIEDMONT
MO 63957

Owner
CLEARWATER LICENSED DAY CARE CENTER, INC.

Mailing Address

Provider/Director
SCOTT, BETH ANN

E-mail Address

Incorporated
Incorporated

Child Care Specialist
DAYNEEN GLASTETTER

Age Range
6 WEEKS - 12 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN IN THE INFANT/TODDLER UNIT; 12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/26/2017

Arrival Time
12:15 PM

Departure Time
1:31 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2298094846

Document	Document-Date
SANITATION INSPECTION	07/05/2016
STAFF SHEET	07/06/2016
EQUIPMENT LIST	07/06/2016
CERTIFICATE OF GOOD STANDING	07/06/2016
APPLICATION	06/06/2016

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	9/10/2014

Inspection determined facility to be in compliance with 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 5

Total Children 24

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Melanie Quinton and Jenny Rubel were present
3	16	PRESCHOOL	Dorothy Casey, Hannah Mize, and Beth Scott were present


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 30-62.087 Fire Safety Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
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 30-62.142 Nighttime Care Compliance
19 CSR 30-62.152 Hourly Care Facilities Not Observed
19 CSR 30-62.162 Overlap Care of Children Not Observed
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 Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance