MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
NIXA PUBLIC SCHOOLS

Facility DVN
002419323

Phone
(417) 724-4000

Physical Address
890 CHEYENNE RD
NIXA
MO 65714-9454

Owner
NIXA PUBLIC SCHOOLS

Mailing Address
301 S MAIN ST
NIXA
MO 65714-5303

Provider/Director
SPRAGUE, EMILY

E-mail Address
cristorres@nixaschools.net

Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
10 YEARS - 13 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/28/2020

Arrival Time
4:50 PM

Departure Time
5:23 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2387141562

Document	Document-Date
STAFF SHEET	04/17/2019
APPLICATION	01/04/2019
EQUIPMENT LIST	04/17/2019
DIRECTOR'S JOB RESPONSIBILITIES	08/03/2011
CHILD CARE PRACTICES	08/03/2011
SAMPLE WEEKLY MENU	08/03/2011
POLICIES	08/03/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/03/2011
JOB RESPONSIBILITIES	08/03/2011
DISCIPLINE POLICIES	08/03/2011
DAILY SCHEDULE	08/12/2013
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/19/2019

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 3

Total Children 16

Staff	Child	Class Age	Note
3	16	SCHOOL AGE	Staff- Emily Sprague, Tanner Faust and Maddie Blansit.


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 Annual Requirements Compliance
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 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 30-63.020 General Requirements 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