MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SEYMOUR R-II SCHOOL

Facility DVN
001378950

Phone
(417) 935-2287

Physical Address
425 E CENTER AVE
SEYMOUR
MO 65746-8955

Owner
SEYMOUR R-II

Mailing Address
416 E CLINTON AVE
SEYMOUR
MO 65746-8938

Provider/Director
ERVIN, JULIE DAWN

E-mail Address
jervin@seymourschool.net

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
36 MONTHS - 5 YEARS

Capacity
30

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/21/2021

Arrival Time
9:57 AM

Departure Time
11:18 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2397100534

Document	Document-Date
STAFF SHEET	05/26/2020
APPLICATION	03/19/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	04/08/2019
LOCAL ZONING APPROVAL	10/08/1999
LINES OF ADMINISTRATIVE AUTHORITY	11/19/1999
SAMPLE WEEKLY MENU	11/19/1999
CHILD CARE PRACTICES	03/30/2011
DAILY SCHEDULE	03/30/2011
DISCIPLINE POLICIES	03/30/2011
DIAGRAM/INDOOR	08/01/2016
DIAGRAM/OUTDOOR	08/01/2016
DIRECTOR'S QUALIFICATIONS	02/06/2002
JOB RESPONSIBILITIES	11/19/1999
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/06/2018
SANITATION INSPECTION	01/20/2021
FIRE/SAFETY INSPECTION	12/22/2020
EQUIPMENT LIST	03/22/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/22/2021
ANNUAL DECLARATION	03/22/2021

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 4

Total Children 26

Staff	Child	Class Age	Note
2	12	PRESCHOOL	Emily Hensley, and Crystal Johnson
2	14	PRESCHOOL	Brandi Farris and Cathy Simpson