MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CLEARWATER LICENSED DAY CARE CENTER, INC.

Facility DVN
000174083

Phone
(573) 223-7494

Physical Address
113 PIEDMONT AVE
PIEDMONT
MO 63957

Owner
CLEARWATER LICENSED DAY CARE CENTER, INC.

Mailing Address

Provider/Director
SCOTT, BETH ANN

E-mail Address
mrs.beth@hotmail.com

Incorporated
Incorporated

Child Care Specialist
KATHY HARRIS

Age Range
6 WEEKS - 12 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN IN THE INFANT/TODDLER UNIT; 12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
07/12/2018

Arrival Time
9:26 AM

Departure Time
11:35 AM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2335314898

Document	Document-Date
CERTIFICATE OF GOOD STANDING	07/12/2018
SANITATION INSPECTION	06/29/2018
STAFF SHEET	07/12/2018
FIRE/SAFETY INSPECTION	06/07/2018
EQUIPMENT LIST	07/12/2018
APPLICATION	05/14/2018
LINES OF ADMINISTRATIVE AUTHORITY	08/26/1985
LOCAL ZONING APPROVAL	08/15/2014
JOB RESPONSIBILITIES	05/30/1985
CHILD CARE PRACTICES	05/30/1985
DAILY SCHEDULE	05/30/1985
SAMPLE WEEKLY MENU	05/30/1985
ARTICLES OF INCORPORATION	05/30/1985
DISCIPLINE POLICIES	07/28/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/10/2016
POLICIES	07/28/2000
SAFE SLEEP POLICY	09/10/2016
LOCAL FIRE DEPARTMENT NOTIFICATION	08/15/2014
DIAGRAM/INDOOR	07/22/2014
DIAGRAM/OUTDOOR	07/22/2014
DIRECTOR'S QUALIFICATIONS	12/18/1997

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	9/10/2014

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 6

Total Children 42

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Shelby Scaggs and Melanie Quinton
2	15	PRESCHOOL	Tamara Branch and Jennifer Rubic
2	19	SCHOOL AGE	Hannah Mize and Chelsea Fuller


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 Not Observed
19 CSR 30-62.202 Nutrition and Food Service Not Observed
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