DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PUMPKIN PATCH PRESCHOOL & CHILDCARE LLC

002117275

(573) 659-8169

2500 COUNTRY CLUB DR
JEFFERSON CITY
MO  65109

PUMPKIN PATCH PRESCHOOL & CHILDCARE LLC



 

HIGGINBOTHAM, STEPHANIE NICOLE

PUMPKINPATCHPRESCHOOL_LLC@YAHOO.COM


AMY BANNING

BIRTH - 12 YEARS

52

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

04/27/2018

11:00 AM

12:20 PM

UNANNOUNCED

COMPLIANCE MONITORING

2330175367


DocumentDocument-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 TimeOverlap End TimeOverlap 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: 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 9
Total Children 47
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Jamie Lepper & Amber Odom
1 0 NO CHILDREN IN ATTENDANCE Roberta Zimmerman, Kitchen
1 0 NO CHILDREN IN ATTENDANCE Chelsie Miller, Office
1 9 PRESCHOOL Ashley Baldwin
1 10 PRESCHOOL Stacey Twenter
1 8 PRESCHOOL Kelsey Ousley
2 13 TWO YEAR OLDS Kortni Middlecamp & Grace Cain

 
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
Violation
 Provider Comments
Violation
One child(ren) records did not include employers' address 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

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