MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
NORTH CENTRAL MISSOURI COLLEGE/GREEN HILLS HEAD START

Facility DVN
001221850

Phone
(660) 258-7035

Physical Address
304 BEVERLY ST
BROOKFIELD
MO 64628

Owner
NORTH CENTRAL MISSOURI COLLEGE/GREEN HILLS HEAD START

Mailing Address
PO BOX 177
TRENTON
MO 64683-0177

Provider/Director
KNOWLES, ROXANNE ALI

E-mail Address
jgott@mail.ncmissouri.edu

Incorporated

Child Care Specialist
JULIE A BADER

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
20 FULL DAY PRESCHOOL CHILDREN

Inspection Information

Date
03/02/2017

Arrival Time
11:18 AM

Departure Time
11:52 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2300543615

Document	Document-Date
SANITATION INSPECTION	08/29/2016
FIRE/SAFETY INSPECTION	08/17/2016
SAMPLE FORMS	03/01/2012
LOCAL ZONING APPROVAL	09/14/1999
LINES OF ADMINISTRATIVE AUTHORITY	09/22/1999
JOB RESPONSIBILITIES	09/22/1999
DIAGRAM/OUTDOOR	02/03/1999
DIAGRAM/INDOOR	02/03/1999
SAMPLE WEEKLY MENU	08/24/2000
POLICIES	03/20/2009
DISCIPLINE POLICIES	03/20/2009
CHILD CARE PRACTICES	03/20/2009
DIRECTOR'S QUALIFICATIONS	11/27/2012
APPLICATION	07/27/2015
STAFF SHEET	07/27/2015
EQUIPMENT LIST	08/27/2015

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 4

Total Children 15

Staff	Child	Class Age	Note
4	15	PRESCHOOL	Staff: Roxanne Knowels, Chasity, Rardon, Cassandra Gulley, Kelsea Cordray


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 Compliance
19 CSR 30-62.162 Overlap Care of Children 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 Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance