MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LIFE360 COMMUNITY SERVICES

Facility DVN
002536161

Phone
(417) 447-9000

Physical Address
1126 N BROADWAY AVE
SPRINGFIELD
MO 65802-4158

Owner
LIFE360 COMMUNITY SERVICES

Mailing Address

Provider/Director
HAHN, ELIZABETH MAE

E-mail Address
liz@life360.org

Incorporated
Incorporated

Child Care Specialist
HEATHER E RADNEY

Age Range
BIRTH - 12 YEARS

Capacity
49

Facility Type
GROUP HOME AND CENTER

Limitations
6 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/07/2021

Arrival Time
1:54 PM

Departure Time
3:06 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2410096694

Document	Document-Date
ARTICLES OF INCORPORATION	05/29/2015
CHILD CARE PRACTICES	01/29/2016
DAILY SCHEDULE	12/11/2015
DIAGRAM/INDOOR	12/29/2015
DIAGRAM/OUTDOOR	12/29/2015
DIRECTOR'S QUALIFICATIONS	12/29/2015
JOB RESPONSIBILITIES	12/29/2015
LINES OF ADMINISTRATIVE AUTHORITY	12/29/2015
LOCAL ZONING APPROVAL	12/29/2015
POLICIES	01/29/2016
SAMPLE WEEKLY MENU	12/11/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	01/09/2018
SAFE SLEEP POLICY	01/10/2018
APPLICATION	12/05/2019
STAFF SHEET	12/05/2019
CERTIFICATE OF GOOD STANDING	12/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/17/2020
DISCIPLINE POLICIES	01/17/2020
SANITATION INSPECTION	01/22/2021
ANNUAL DECLARATION	02/19/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/03/2021
EQUIPMENT LIST	03/03/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	1/6/2016

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 26

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 5

Total Children 23

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Lidia Antal and Cheyene Smith with children ages 5 mo-1 yr old
1	9	PRESCHOOL	Jasmine Hubbard with children age 3-5 years old
2	8	TWO YEAR OLDS	Liz Woods and Ivanka Bostrom with children age 2 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 Violation
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
19 CSR 30-62.087 Fire Safety Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Violation
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Violation
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
19 CSR 30-62.132 Admission Policies and Procedures Violation
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 Not Observed
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Violation
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Not Observed
19 CSR 30-62.222 Records and Reports Violation
19 CSR 30-63.020 General Requirements Violation
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