DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHILD LIFE ACADEMY PRESCHOOL AND DAYCARE LLC

002765002

(417) 732-2014

689 E HINES ST
REPUBLIC
MO  65738-1168

CHILD LIFE ACADEMY PRESCHOOL AND DAYCARE LLC



 

KNOCK, WENDY M

wendyknock@yahoo.com


BILLIE RUSSELL

24 MONTHS - 13 YEARS

35

GROUP HOME AND CENTER

 
Inspection Information

07/12/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2403861551


DocumentDocument-Date
ANNUAL DECLARATION 03/31/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/30/2021
DIRECTOR'S QUALIFICATIONS 03/29/2019
APPLICATION 03/11/2019
CHILD CARE PRACTICES 03/25/2019
DAILY SCHEDULE 03/25/2019
DIAGRAM/INDOOR 03/27/2019
DIAGRAM/OUTDOOR 03/27/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/25/2019
DISCIPLINE POLICIES 03/25/2019
EQUIPMENT LIST 03/31/2021
FIRE/SAFETY INSPECTION 05/03/2021
LINES OF ADMINISTRATIVE AUTHORITY 03/25/2019
LLC OPERATING AGREEMENT 03/25/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 03/20/2019
POLICIES 03/25/2019
SAMPLE WEEKLY MENU 03/25/2019
STAFF SHEET 03/11/2019
SANITATION INSPECTION 01/06/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   5/9/2019



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.

 
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 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
5/3/2021
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
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