MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

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Facility Information

Facility Name

Facility DVN

Phone

Physical Address

Owner

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist

Age Range

Capacity

Facility Type

Limitations

Inspection Information

Date

Arrival Time

Departure Time

Notice

Inspection Type

Inspection ID

Document	Document-Date
CERTIFICATE OF GOOD STANDING	01/08/2018
SANITATION INSPECTION	10/26/2017
FIRE/SAFETY INSPECTION	12/11/2017
STAFF SHEET	01/08/2018
EQUIPMENT LIST	01/08/2018
APPLICATION	01/08/2018
SAMPLE WEEKLY MENU	02/22/1996
POLICIES	01/26/2006
LOCAL BUILDING APPROVAL	01/02/1996
LOCAL ZONING APPROVAL	01/02/1996
JOB RESPONSIBILITIES	01/26/2006
LINES OF ADMINISTRATIVE AUTHORITY	07/26/1994
DISCIPLINE POLICIES	01/26/2006
DIRECTOR'S QUALIFICATIONS	02/24/2004
DIAGRAM/OUTDOOR	08/16/1994
DIAGRAM/INDOOR	08/16/1994
DAILY SCHEDULE	01/26/2006
CHILD CARE PRACTICES	01/26/2006

Open Violations:

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.


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