MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

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Facility Information

Facility Name

Facility DVN

Phone

Physical Address

Owner

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist

Age Range

Capacity

Facility Type

Limitations

Inspection Information

Date

Arrival Time

Departure Time

Notice

Inspection Type

Inspection ID

Document	Document-Date
APPLICATION	05/29/2018
CHILD CARE PRACTICES	07/31/2018
DAILY SCHEDULE	07/31/2018
DIAGRAM/INDOOR	07/31/2018
DIAGRAM/OUTDOOR	07/31/2018
DIRECTOR'S QUALIFICATIONS	07/31/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/31/2018
DISCIPLINE POLICIES	07/31/2018
EQUIPMENT LIST	07/31/2018
FIRE/SAFETY INSPECTION	07/22/2019
JOB RESPONSIBILITIES	07/31/2018
LINES OF ADMINISTRATIVE AUTHORITY	07/31/2018
LLC ARTICLES OF ORGANIZATION	07/31/2018
LLC OPERATING AGREEMENT	07/31/2018
LOCAL ZONING APPROVAL	07/31/2018
OWNER/PROVIDER REFERENCES	07/31/2018
POLICIES	07/31/2018
SAFE SLEEP POLICY	07/31/2018
SAMPLE WEEKLY MENU	07/31/2018
STAFF SHEET	07/31/2018
SANITATION INSPECTION	05/14/2019

Open Violations:

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Violation
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 Violation
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
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 Violation
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 Violation
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
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance