DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PUXICO R-VIII SCHOOL DISTRICT

001506338

(573) 222-6221

481 N BEDFORD ST
PUXICO
MO  63960-9144

PUXICO R-VIII SCHOOL DISTRICT



 

CULBERTSON, LISA ANN

ecaldwell@puxico.k12.mo.us


SAMINA C HISE

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

10/05/2021

10:25 AM

11:19 AM

UNANNOUNCED

COMPLIANCE MONITORING

2409793398


DocumentDocument-Date
JOB RESPONSIBILITIES 05/25/2016
DAILY SCHEDULE 05/25/2016
DIAGRAM/INDOOR 05/25/2016
DIAGRAM/OUTDOOR 05/25/2016
CHILD CARE PRACTICES 05/25/2016
DISCIPLINE POLICIES 05/25/2016
POLICIES 05/25/2016
SAMPLE WEEKLY MENU 06/01/2016
DIRECTOR'S QUALIFICATIONS 07/12/2016
LINES OF ADMINISTRATIVE AUTHORITY 06/18/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 06/01/2016
LOCAL ZONING APPROVAL 06/01/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/18/2016
APPLICATION 05/13/2020
STAFF SHEET 04/14/2020
SANITATION INSPECTION 01/14/2021
FIRE/SAFETY INSPECTION 02/03/2021
ANNUAL DECLARATION 03/10/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/10/2021
EQUIPMENT LIST 03/10/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 19
StaffChildClass AgeNote
2 19 PRESCHOOL Director, Lisa Culbertson and caregiver, Erin Caldwell with nineteen preschool children aged 3-5 years old.

 
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
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by the door to the underpinning of the building was unlocked.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Cheryl Doublin.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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