MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
KELSO C-7 PRESCHOOL

Facility DVN
002533548

Phone
(573) 545-3357

Physical Address
1016 STATE HIGHWAY A
BENTON
MO 63736-8159

Owner
KELSO C7 SCHOOL DISTRICT

Mailing Address

Provider/Director
BENTLEY, CRYSTAL RAE

E-mail Address
CBENTLEY@KELSOC-6.K12.US.MO

Incorporated

Child Care Specialist
MELISSA JILL SMITH

Age Range
36 MONTHS - 5 YEARS

Capacity
15

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/04/2017

Arrival Time
12:30 PM

Departure Time
1:33 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2302434737

Document	Document-Date
APPLICATION	08/04/2016
STAFF SHEET	08/04/2016
LOCAL ZONING APPROVAL	08/04/2016
DIRECTOR'S QUALIFICATIONS	10/29/2015
DIAGRAM/INDOOR	10/15/2015
DIAGRAM/OUTDOOR	10/15/2015
SAMPLE WEEKLY MENU	10/29/2015
JOB RESPONSIBILITIES	10/29/2015
SAMPLE FORMS	10/15/2015
LINES OF ADMINISTRATIVE AUTHORITY	10/15/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	08/24/2016
CHILD CARE PRACTICES	10/15/2015
DISCIPLINE POLICIES	10/15/2015
DAILY SCHEDULE	10/15/2015
POLICIES	10/15/2015
EQUIPMENT LIST	09/27/2016
SANITATION INSPECTION	09/16/2016
FIRE/SAFETY INSPECTION	08/24/2016

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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 2

Total Children 13

Staff	Child	Class Age	Note
2	13	PRESCHOOL	Staff: Crystal and Mickell