MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
PHASE II ACADEMY LLC

Facility DVN
002857789

Phone
(678) 643-4870

Physical Address
215 E BROADWAY ST
HAYTI
MO 63851-1625

Owner
PHASE II ACADEMY LLC

Mailing Address
PO BOX 209
HAYTI
MO 63851-0209

Provider/Director
JOHNSON, PLESANA JO

E-mail Address
PHASE2ACADEMYLLC@GMAIL.COM

Incorporated

Child Care Specialist
DAYNEEN GLASTETTER

Age Range
BIRTH - 12 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
7 CHILDREN IN THE INFANT/TODDLER UNIT; 7 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
06/17/2021

Arrival Time
2:00 PM

Departure Time
2:59 PM

Notice
UNANNOUNCED

Inspection Type
POST LICENSING

Inspection ID
2402710706

Document	Document-Date
FIRE/SAFETY INSPECTION	03/18/2021
SANITATION INSPECTION	04/01/2021
DIRECTOR'S QUALIFICATIONS	04/05/2021
LICENSING ORIENTATION	04/01/2021
APPLICATION	02/14/2021
APPLICATION	02/14/2021
STAFF SHEET	02/19/2021
EQUIPMENT LIST	03/17/2021
SAFE SLEEP POLICY	01/21/2021
DIAGRAM/INDOOR	03/17/2021
DIAGRAM/OUTDOOR	03/17/2021
JOB RESPONSIBILITIES	03/17/2021
DAILY SCHEDULE	03/17/2021
SAMPLE WEEKLY MENU	02/19/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/19/2021
CHILD CARE PRACTICES	02/19/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	01/21/2021
LOCAL ZONING APPROVAL	01/21/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/15/2020
LINES OF ADMINISTRATIVE AUTHORITY	01/21/2021
POLICIES	01/21/2021
DISCIPLINE POLICIES	01/21/2021
LLC ARTICLES OF ORGANIZATION	12/15/2020
LLC OPERATING AGREEMENT	01/20/2021

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 4

Total Children 16

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Caregivers; Xavia Alexander and Perriah Smith present
1	0	NO CHILDREN IN ATTENDANCE	Sureeka Moore, Acting Person in Charge, was present during this inspection
1	10	PRESCHOOL	Caregiver; Kay Howard present


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process 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 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 Not Observed
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