DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

SAVANNAH RIII SCHOOL DISTRICT

002175631

(816) 279-4533

12401 COUNTY RD 438
COUNTRY CLUB
MO  64505-3719

SAVANNAH RIII SCHOOL DISTRICT

408 W MARKET ST
SAVANNAH
MO  64485-1658

GRISSOM, PATRICIA JO

JBRYAN@SAVANNAHR3.COM


PEGGY HASTINGS

5 YEARS - 11 YEARS

99

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

03/11/2020

3:00 PM

4:58 PM

ANNOUNCED

RENEWAL

2377846736


DocumentDocument-Date
POLICIES 05/29/2014
CHILD CARE PRACTICES 05/29/2014
LINES OF ADMINISTRATIVE AUTHORITY 04/29/2014
SAMPLE WEEKLY MENU 04/29/2014
DAILY SCHEDULE 05/29/2014
JOB RESPONSIBILITIES 03/04/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 04/29/2014
STAFF SHEET 03/10/2020
DIRECTOR'S QUALIFICATIONS 01/07/2020
EQUIPMENT LIST 02/26/2020
APPLICATION 02/26/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 7
Total Children 53
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Joan Bryan; Jordan Burnett and Stephanie Girvan also present
4 53 SCHOOL AGE Nicole Adams; April Adams; Laura Jacobo and Jordan Guffy with 53 children ages 5-11yrs

 
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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Hollie Yurkowvich; Nicole Adams; Jordyn Burnett; Joan Bryan; April Adams; Lesa Berry; Stephanie Girvan; Debra Coats; Jordan Guffey and Laura Jacobo within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not from a qualified professional source.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.172 Emergency School Closings
Not Observed
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
Violation
 Provider Comments
Violation
A written record of fire and disaster drills was not maintained.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (8) states: The provider shall maintain a written record at the facility for fire and disaster drills.
Correction Required
Fire & disaster drills shall be recorded and kept on file.

Correction Verification
Submit Documentation

Compliance Date

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 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance