MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MVCAA CARROLLTON HEAD START CENTER

Facility DVN
000750601

Phone
(660) 542-2560

Physical Address
108 WALNUT HILL DR
CARROLLTON
MO 64633

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
WATERS, LACIE JOLYNN

E-mail Address
WATERSL@MVCAA.NET

Incorporated
Incorporated

Child Care Specialist
AMY C KENNEDY

Age Range
24 MONTHS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
05/21/2018

Arrival Time
11:35 AM

Departure Time
12:08 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2334826076

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	12/18/2017
APPLICATION	12/18/2017
CERTIFICATE OF GOOD STANDING	12/18/2017
EQUIPMENT LIST	12/20/2017
FIRE/SAFETY INSPECTION	10/02/2017
SANITATION INSPECTION	10/26/2017
SAMPLE WEEKLY MENU	03/19/2004
POLICIES	03/19/2004
LOCAL ZONING APPROVAL	04/08/2004
LOCAL BUILDING APPROVAL	04/08/2004
JOB RESPONSIBILITIES	03/19/2004
DISCIPLINE POLICIES	03/19/2004
DIAGRAM/OUTDOOR	04/12/2004
DIAGRAM/INDOOR	03/19/2004
CHILD CARE PRACTICES	04/12/2004
ARTICLES OF INCORPORATION	06/24/2008
DAILY SCHEDULE	04/07/2012
STAFF SHEET	11/16/2015

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 2

Total Children 13

Staff	Child	Class Age	Note
2	13	PRESCHOOL