MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
NODAWAY HOLT HEAD START - COMMUNITY SERVICES, INC.

Facility DVN
000603583

Phone
(660) 935-2237

Physical Address
112 S 4TH ST
MAITLAND
MO 64466

Owner
COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI

Mailing Address
1212-B S MAIN ST
MARYVILLE
MO 64468

Provider/Director
BROWN, KATHY JOANNE

E-mail Address
rcoffelt.csi@gmail.com

Incorporated
Incorporated

Child Care Specialist
PEGGY HASTINGS

Age Range
36 MONTHS - 6 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/04/2018

Arrival Time
10:30 AM

Departure Time
11:10 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2328697084

Document	Document-Date
SAMPLE WEEKLY MENU	04/18/2013
CHILD CARE PRACTICES	04/18/2013
DISCIPLINE POLICIES	04/18/2013
POLICIES	04/18/2013
ARTICLES OF INCORPORATION	09/24/2008
LOCAL ZONING APPROVAL	06/30/1995
LOCAL BUILDING APPROVAL	08/30/1995
DAILY SCHEDULE	06/21/1995
DIAGRAM/OUTDOOR	06/14/1995
DIAGRAM/INDOOR	06/14/1995
APPLICATION	08/16/2016
EQUIPMENT LIST	10/05/2016
STAFF SHEET	10/05/2016
CERTIFICATE OF GOOD STANDING	10/05/2016
REGISTERING FICTITIOUS NAMES	06/17/2014
DIRECTOR'S QUALIFICATIONS	10/22/2014
LINES OF ADMINISTRATIVE AUTHORITY	04/17/2013
JOB RESPONSIBILITIES	06/21/1995
FIRE/SAFETY INSPECTION	09/07/2017
SANITATION INSPECTION	08/24/2017

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 3

Total Children 15

Staff	Child	Class Age	Note
3	15	PRESCHOOL	Program's last day for the school year is 4/19/18