MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BRUNSWICK R-II SCHOOL DISTRICT

Facility DVN
002204359

Phone
(660) 548-3777

Physical Address
1008 COUNTY ROAD
BRUNSWICK
MO 65236

Owner
BRUNSWICK R-II SCHOOL DISTRICT

Mailing Address

Provider/Director
SIMS, HEATHER RAE

E-mail Address
hsims@Brunswick.K12.MO.US

Incorporated

Child Care Specialist
CHRISTINA BRUCE

Age Range
6 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
01/12/2021

Arrival Time
2:30 PM

Departure Time
3:08 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2391601362

Document	Document-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/16/2018
SAMPLE FORMS	01/27/2010
LINES OF ADMINISTRATIVE AUTHORITY	01/27/2010
POLICIES	10/28/2009
DISCIPLINE POLICIES	10/28/2009
DIRECTOR'S JOB RESPONSIBILITIES	10/28/2009
DAILY SCHEDULE	10/28/2010
CHILD CARE PRACTICES	10/28/2010
LOCAL FIRE DEPARTMENT NOTIFICATION	10/28/2010
JOB RESPONSIBILITIES	10/28/2010
SAMPLE WEEKLY MENU	08/28/2019
ANNUAL DECLARATION	11/20/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/12/2021
APPLICATION	08/12/2019
EQUIPMENT LIST	01/12/2021
STAFF SHEET	01/12/2021

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 2

Total Children 14

Staff	Child	Class Age	Note
2	14	SCHOOL AGE	Stephanie Kuhler, Staff Amber See, Staff


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