MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
PUMPKIN PATCH PRESCHOOL & CHILDCARE LLC

Facility DVN
002117275

Phone
(573) 659-8169

Physical Address
2500 COUNTRY CLUB DR
JEFFERSON CITY
MO 65109

Owner
PUMPKIN PATCH PRESCHOOL & CHILDCARE LLC

Mailing Address

Provider/Director
HIGGINBOTHAM, STEPHANIE NICOLE

E-mail Address
PUMPKINPATCHPRESCHOOL_LLC@YAHOO.COM

Incorporated

Child Care Specialist
AMY BANNING

Age Range
BIRTH - 12 YEARS

Capacity
52

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
10/27/2017

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2316959693

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	10/15/2008
JOB RESPONSIBILITIES	09/01/2010
DIRECTOR'S QUALIFICATIONS	08/26/2008
SAMPLE FORMS	10/15/2008
CHILD CARE PRACTICES	10/15/2008
SAMPLE WEEKLY MENU	10/15/2008
POLICIES	10/15/2008
DIAGRAM/OUTDOOR	10/15/2008
DIAGRAM/INDOOR	09/01/2010
LLC OPERATING AGREEMENT	09/02/2012
CERTIFICATE OF GOOD STANDING	10/01/2012
ARTICLES OF INCORPORATION	09/02/2008
LOCAL ZONING APPROVAL	09/02/2008
LOCAL BUILDING APPROVAL	09/02/2008
DAILY SCHEDULE	05/28/2014
FIRE/SAFETY INSPECTION	09/18/2017
STAFF SHEET	10/04/2016
EQUIPMENT LIST	10/04/2016
APPLICATION	08/26/2016
SANITATION INSPECTION	08/22/2016

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:20PM	5:20PM	12/14/2011
7:45AM	8:45AM	12/14/2011

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.