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
JESSICA SPENCER

Age Range
6 WEEKS - 12 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/09/2020

Arrival Time
11:45 AM

Departure Time
1:41 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2373130265

Document	Document-Date
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
APPLICATION	05/14/2018
EQUIPMENT LIST	07/12/2018
STAFF SHEET	07/12/2018
CERTIFICATE OF GOOD STANDING	07/12/2018
FIRE/SAFETY INSPECTION	06/24/2019
SANITATION INSPECTION	05/23/2019

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: 8

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 5

Total Children 26

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Caregivers: Jenny Ruble and Melanie Quinton
1	4	INFANTS AND TODDLERS	Caregiver: Kayla Robinson
2	16	MIXED	Director-Beth Scott Caregiver-Hannah Mize