MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LULLABY INN

Facility DVN
002175720

Phone
(636) 978-9988

Physical Address
10390 VETERANS MEMORIAL PKY
LAKE ST LOUIS
MO 63367

Owner
B. L. D. C. CORPORATION

Mailing Address

Provider/Director
SAMMONS, NICOLE ORA

E-mail Address
BRITTDOW@GMAIL.COM

Incorporated
Incorporated

Child Care Specialist
DENISE ELAYNE KOCH

Age Range
6 WEEKS - 12 YEARS

Capacity
49

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
05/13/2020

Arrival Time
10:27 AM

Departure Time
11:11 AM

Notice
ANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2380623758

Document	Document-Date
APPLICATION	07/23/2019
EQUIPMENT LIST	10/17/2019
STAFF SHEET	10/17/2019
SANITATION INSPECTION	10/07/2019
FIRE/SAFETY INSPECTION	09/20/2019
LOCAL ZONING APPROVAL	10/17/2019
SAFE SLEEP POLICY	04/04/2016
SAMPLE WEEKLY MENU	11/13/2009
SAMPLE FORMS	11/13/2009
POLICIES	11/13/2009
LINES OF ADMINISTRATIVE AUTHORITY	11/13/2009
JOB RESPONSIBILITIES	11/13/2009
DISCIPLINE POLICIES	11/13/2009
DIAGRAM/OUTDOOR	11/13/2009
DIAGRAM/INDOOR	11/13/2009
DAILY SCHEDULE	11/13/2009
CHILD CARE PRACTICES	11/13/2009
CERTIFICATE OF GOOD STANDING	11/13/2009
ARTICLES OF INCORPORATION	11/13/2009
DIRECTOR'S QUALIFICATIONS	02/05/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	11/13/2009
REGISTERING FICTITIOUS NAMES	11/13/2009
LOCAL BUILDING APPROVAL	10/15/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/26/2017

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.

Attendance at Time of Inspection

Total Staff 6

Total Children 28

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Colleen Holden with children ages 1 to 2 years
2	7	INFANTS AND TODDLERS	Paige Dodgion and Kailey Knight with children with children ages 2 months to 13 months
1	10	MIXED	Kris Delong with children ages 4 to 7 years
1	0	NO CHILDREN IN ATTENDANCE	Nicole Sammons (director) with no children
1	7	PRESCHOOL	Zoe Swenson with children 2 to 4 years (3 are age 2 years)