DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LICKING R-VIII SCHOOL DISTRICT

001688099

(573) 674-3211

312 WALKER ST
LICKING
MO  65542

LICKING RVIII SCHOOL DISTRICT

125 COLLEGE AVE
LICKING
MO  65542-9878

CLONTS, TERESA ANN

TCLONTS@LICKING.K12.MO.US


ELAINE S COX

4 YEARS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

04/16/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2354802791


DocumentDocument-Date
DISCIPLINE POLICIES 11/12/2008
LOCAL ZONING APPROVAL 11/20/2002
JOB RESPONSIBILITIES 11/21/2002
CHILD CARE PRACTICES 04/29/2002
SAMPLE WEEKLY MENU 04/29/2002
DAILY SCHEDULE 11/21/2002
DIAGRAM/OUTDOOR 12/09/2002
DIAGRAM/INDOOR 12/09/2002
DIRECTOR'S QUALIFICATIONS 01/11/2010
POLICIES 05/07/2012
LINES OF ADMINISTRATIVE AUTHORITY 11/21/2002
LOCAL BUILDING APPROVAL 11/20/2002
LOCAL FIRE DEPARTMENT NOTIFICATION 10/31/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/10/2018
APPLICATION 09/24/2018
EQUIPMENT LIST 09/24/2018
STAFF SHEET 09/24/2018
SANITATION INSPECTION 10/05/2018
FIRE/SAFETY INSPECTION 10/25/2018




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
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
Violation
 Provider Comments
Violation
Medical examination report was not on file for Teresa Clonts as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/12/2019
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
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance