DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KIRKSVILLE R-III SCHOOL DISTRICT

002011727

(660) 626-1459

1405 S COTTAGE GROVE
KIRKSVILLE
MO  63501

KIRKSVILLE R-III SCHOOL DISTRICT



 

KLOCKE, MELISSA ROSE

mklocke@kirksville.k12.mo.us


BETHANY C DUCKWORTH

6 WEEKS - 6 YEARS

175

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS; 76 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

08/28/2020

9:02 AM

11:24 AM

ANNOUNCED

COMPLIANCE MONITORING

2383865571


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/27/2008
LINES OF ADMINISTRATIVE AUTHORITY 02/27/2008
DIRECTOR'S JOB RESPONSIBILITIES 02/27/2008
JOB RESPONSIBILITIES 02/27/2008
DAILY SCHEDULE 03/17/2010
DIRECTOR'S QUALIFICATIONS 04/28/2008
CHILD CARE PRACTICES 04/11/2016
DISCIPLINE POLICIES 04/11/2016
POLICIES 04/11/2016
EQUIPMENT LIST 04/27/2020
STAFF SHEET 07/29/2020
FIRE/SAFETY INSPECTION 06/16/2020
DIAGRAM/INDOOR 03/10/2008
DIAGRAM/OUTDOOR 03/10/2008
SAMPLE FORMS 03/04/2008
SAFE SLEEP POLICY 03/01/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/06/2019
APPLICATION 03/10/2020
SANITATION INSPECTION 03/06/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 32
Total Children 61
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Staff: Katie Hoppe and Kerri Shoemaker Age range 4 months through 10 months. Room 109
1 4 INFANTS AND TODDLERS Staff: Jennifer Potter Room 109 Age range 17 months through 2 years.
2 0 NO CHILDREN IN ATTENDANCE Staff: Angel Grogen and Shanea Rusk Room 105
2 0 NO CHILDREN IN ATTENDANCE Staff: Chrissie Hendren and Karen Burns. Room 106
1 0 NO CHILDREN IN ATTENDANCE Staff: Michelle Stonecipher Room 114
3 0 NO CHILDREN IN ATTENDANCE Staff: Brittney Athon, Madison Keim, Aftyn Horton Room 132
2 0 NO CHILDREN IN ATTENDANCE Staff: Mikki Cowen and Stacy Xander Room 131
3 0 NO CHILDREN IN ATTENDANCE Staff: Jill Scheuerer, Taylor Roger, and Michelle Muffley. Room 128
1 5 PRESCHOOL Staff: Sandy Adams 3 year old children. Room 103
3 14 PRESCHOOL Staff: Jessie, Merrissa and Pam. Room 116 4 and 5 year old children.
3 4 PRESCHOOL Staff: Alisha Claybrook, Alexis Luebbering, Haley Baker, Savannah Babcock Room 127
3 16 PRESCHOOL Staff: Anne Bethel, Whitney Burns, and Laryn Pinkston Ages 3 to 5 years. Room 119
4 9 PRESCHOOL Staff: Layne Partin, Catherine Tyler, and Kamerin Belitz 3 year old children. Room 118
2 5 TWO YEAR OLDS Staff: Dawn Brawner and Mikayla Walker Room 109

 
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
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
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
Compliance
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
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
Compliance
19 CSR 30-63.040 Background Screening Findings
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