MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
ST. PAUL'S EVANGELICAL LUTHERAN CHURCH OF KANSAS CITY, MISSOURI, (MISSOURI SYNOD)

Facility DVN
000791826

Phone
(816) 373-3582

Physical Address
17200 E 39TH ST
INDEPENDENCE
MO 64055

Owner
ST PAULS EVANGELICAL LUTHERAN CHURCH OF KANSAS CITY MISSOURI (MISSOURI SYNOD)

Mailing Address

Provider/Director
DOMSCH, DAWNELL ELIZABETH

E-mail Address
PRECIOUSLAMBS96@YAHOO.COM

Incorporated

Child Care Specialist
JANA BARTON

Age Range
6 WEEKS - 12 YEARS

Capacity
60

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/25/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2367632895

Document	Document-Date
SANITATION INSPECTION	08/13/2019
FIRE/SAFETY INSPECTION	09/30/2019
LLC ARTICLES OF ORGANIZATION	10/11/1996
SAMPLE WEEKLY MENU	10/16/1996
ARTICLES OF INCORPORATION	10/11/1996
CERTIFICATE OF GOOD STANDING	10/02/2014
DISCIPLINE POLICIES	09/08/1997
CHILD CARE PRACTICES	09/08/1997
POLICIES	10/23/1996
JOB RESPONSIBILITIES	10/23/1996
LINES OF ADMINISTRATIVE AUTHORITY	10/23/1996
DAILY SCHEDULE	10/23/1996
DIAGRAM/INDOOR	10/08/1996
DIAGRAM/OUTDOOR	10/08/1996
DIRECTOR'S QUALIFICATIONS	11/02/2004
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/24/2018
SAFE SLEEP POLICY	04/24/2018
APPLICATION	10/12/2018
EQUIPMENT LIST	10/12/2018
STAFF SHEET	10/12/2018

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.