DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLEVER RV SCHOOL DISTRICT

001355966

(417) 743-4810

103 S PUBLIC AVE
CLEVER
MO  65631-9103

CLEVER RV SCHOOL DISTRICT



 

HARVEY, PAULA SUE

harveyp@cleverbluejays.org


ANGEL DONSON

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/12/2021

11:55 AM

12:39 PM

UNANNOUNCED

COMPLIANCE MONITORING

2397344073


DocumentDocument-Date
APPLICATION 02/05/2020
STAFF SHEET 02/14/2020
LINES OF ADMINISTRATIVE AUTHORITY 02/18/2000
DIRECTOR'S QUALIFICATIONS 04/03/2007
CHILD CARE PRACTICES 02/07/2000
SAMPLE WEEKLY MENU 02/18/2000
DAILY SCHEDULE 02/07/2000
POLICIES 02/18/2000
DIAGRAM/OUTDOOR 03/24/2000
DIAGRAM/INDOOR 03/24/2000
LOCAL ZONING APPROVAL 03/24/2000
LOCAL BUILDING APPROVAL 03/24/2000
DISCIPLINE POLICIES 02/07/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/14/2018
SANITATION INSPECTION 12/10/2020
ANNUAL DECLARATION 03/10/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 1
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE The school is closed on Mondays staring 2021.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

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
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 30-62.142 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
Records were not available for inspection by the department upon request as evidenced by Children's files were not available for review.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (11) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date

Violation
Records were not available for inspection by the department upon request as evidenced by Staff files were not available for review.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (11) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

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