MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LUCKY LANE NURSERY SCHOOL ASSOCIATION-BENEVOLENT

Facility DVN
000522607

Phone
(314) 434-4462

Physical Address
12546 CONWAY RD
ST LOUIS
MO 63141

Owner
LUCKY LANE EARLY CHILDHOOD ASSOCIATION

Mailing Address

Provider/Director
PURDY, CARLY CYNTHIA

E-mail Address
LUCKYLANE@SBCGLOBAL.NET

Incorporated
Incorporated

Child Care Specialist
SAMPLE, ERIKA M

Age Range
24 MONTHS - 5 YEARS

Capacity
80

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
05/17/2018

Arrival Time
9:00 AM

Departure Time
9:59 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2332026875

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	01/10/2006
CERTIFICATE OF GOOD STANDING	03/26/2013
SAMPLE FORMS	09/02/1993
REGISTERING FICTITIOUS NAMES	03/26/2013
POLICIES	09/02/1993
LOCAL ZONING APPROVAL	09/02/1993
LOCAL FIRE DEPARTMENT NOTIFICATION	03/01/2011
LOCAL BUILDING APPROVAL	09/02/1993
LINES OF ADMINISTRATIVE AUTHORITY	09/02/1993
JOB RESPONSIBILITIES	09/02/1993
DISCIPLINE POLICIES	09/02/1993
DIAGRAM/OUTDOOR	09/02/1993
DIAGRAM/INDOOR	09/02/1993
CHILD CARE PRACTICES	09/02/1993
ARTICLES OF INCORPORATION	09/02/1993
SAMPLE WEEKLY MENU	04/02/2015
DAILY SCHEDULE	04/02/2015
APPLICATION	04/07/2017
EQUIPMENT LIST	04/07/2017
FIRE/SAFETY INSPECTION	04/05/2018
SANITATION INSPECTION	02/26/2018
STAFF SHEET	04/07/2017

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.

Attendance at Time of Inspection

Total Staff 12

Total Children 67

Staff	Child	Class Age	Note
2	13	PRESCHOOL	Deana R and Julie S with 13 children
2	9	PRESCHOOL	Tori W and Meagan U with 9 children
2	11	PRESCHOOL	Rachel C and Elaine D with 11 children
2	9	PRESCHOOL	Sue M and Ana T with 9 children
2	11	TWO YEAR OLDS	Kari H and Claire L with 11 children
2	14	TWO YEAR OLDS	Kellie S and Melissa B with 14 children


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