DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PLAY LEARN ACHIEVE ACADEMY, LLC

002430033

(573) 216-3855

765 W US HIGHWAY 54
CAMDENTON
MO  65020-6951

PLAY LEARN ACHIEVE ACADEMY, LLC



 

BLAIR, CARINA LYN

carina@plaacademy.com


AMY BANNING

24 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

04/12/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2329166290


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/15/2013
DIAGRAM/OUTDOOR 10/30/2013
DISCIPLINE POLICIES 10/04/2013
LOCAL ZONING APPROVAL 08/15/2013
CERTIFICATE OF GOOD STANDING 10/30/2013
LLC ARTICLES OF ORGANIZATION 10/30/2013
DAILY SCHEDULE 10/04/2013
LINES OF ADMINISTRATIVE AUTHORITY 10/04/2013
JOB RESPONSIBILITIES 10/04/2013
SAMPLE WEEKLY MENU 10/04/2013
DIAGRAM/INDOOR 10/04/2013
CHILD CARE PRACTICES 11/07/2013
POLICIES 11/07/2013
SAMPLE FORMS 10/04/2013
LOCAL BUILDING APPROVAL 10/31/2013
REGISTERING FICTITIOUS NAMES 10/30/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 11/08/2013
OWNER/PROVIDER REFERENCES 11/08/2013
LLC OPERATING AGREEMENT 11/07/2013
EQUIPMENT LIST 08/15/2017
STAFF SHEET 08/15/2017
APPLICATION 08/15/2017
SANITATION INSPECTION 08/18/2017
FIRE/SAFETY INSPECTION 09/21/2017

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:10AM   11:45AM   9/25/2017



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.

 
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
Violation
 Provider Comments
Violation
Outdoor equipment, mini trampoline, in the outside play area was not in good condition as evidenced by a rip in the spring cover material.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
4/6/2018
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by the facility did not have authorization for emergency medical care for one child.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/6/2018
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
Violation
 Provider Comments
Violation
Facility did not submit the 2017/2018 annual summary report showing immunization status of each child enrolled by January 15.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department (see 19 CSR 40-61.185). The immunization records shall be available for review by department personnel upon request.
Correction Required
Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

Correction Verification
Submit Documentation

Compliance Date
3/23/2018
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
One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/6/2018
Violation
One 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
4/6/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance