DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PLAY LEARN ACHIEVE ACADEMY, LLC

002430033

(573) 216-3855

765 W US HIGHWAY 54
CAMDENTON
MO  65020-6951

PLAY LEARN ACHIEVE ACADEMY, LLC



 

BLAIR, CARINA LYN

carina@plaacademy.com


ALISON MICHELE EVANS

24 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

11/04/2020

11:00 AM

11:45 AM

UNANNOUNCED

COMPLIANCE MONITORING

2387552332


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/15/2013
DIAGRAM/OUTDOOR 10/30/2013
DISCIPLINE POLICIES 10/04/2013
LOCAL ZONING APPROVAL 08/15/2013
CERTIFICATE OF GOOD STANDING 10/30/2013
LLC ARTICLES OF ORGANIZATION 10/30/2013
DAILY SCHEDULE 10/04/2013
LINES OF ADMINISTRATIVE AUTHORITY 10/04/2013
JOB RESPONSIBILITIES 10/04/2013
SAMPLE WEEKLY MENU 10/04/2013
DIAGRAM/INDOOR 10/04/2013
CHILD CARE PRACTICES 11/07/2013
POLICIES 11/07/2013
SAMPLE FORMS 10/04/2013
LOCAL BUILDING APPROVAL 10/31/2013
REGISTERING FICTITIOUS NAMES 10/30/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 11/08/2013
OWNER/PROVIDER REFERENCES 11/08/2013
LLC OPERATING AGREEMENT 11/07/2013
EQUIPMENT LIST 08/21/2019
APPLICATION 08/21/2019
STAFF SHEET 08/21/2019
SANITATION INSPECTION 09/04/2020
FIRE/SAFETY INSPECTION 08/05/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:10AM   11:45AM   9/25/2017



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 3
Total Children 15
StaffChildClass AgeNote
2 15 MIXED Carina Blair and Chelsea Wright with 15 children which there were 3 two year old in the group.
1 0 NO CHILDREN IN ATTENDANCE Cook-Vicki Barrett

 
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 30-62.087 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
 Provider Comments
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Donald Barrett and Vicki Barrett.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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