DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

SPRINGFIELD-GREENE COUNTY PARK BOARD

002371802

(417) 523-5100

3850 N FARM ROAD 159
SPRINGFIELD
MO  65803-8133

SPRINGFIELD-GREENE COUNTY PARK BOARD

300 E HARRISON ST
SPRINGFIELD
MO  65806

KOESTER, MOLLY RAND

dellison@springfieldmo.gov


EUNICE D KARR

5 YEARS - 12 YEARS

80

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

09/13/2017

3:20 PM

4:07 PM

UNANNOUNCED

COMPLIANCE MONITORING

2313242627


DocumentDocument-Date
APPLICATION 07/26/2016
EQUIPMENT LIST 09/13/2016
STAFF SHEET 09/13/2016
SAMPLE WEEKLY MENU 08/31/2012
DIRECTOR'S QUALIFICATIONS 11/13/2012
DIRECTOR'S JOB RESPONSIBILITIES 11/01/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/31/2012
CHILD CARE PRACTICES 08/31/2012
DAILY SCHEDULE 08/31/2012
POLICIES 08/31/2012




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 2
Total Children 23
StaffChildClass AgeNote
2 23 SCHOOL AGE

 
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
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 30-62.172 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
 Provider Comments
Violation
two child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
two child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance