MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

Back

Facility Information

Facility Name
PUXICO R-VIII SCHOOL DISTRICT

Facility DVN
001506338

Phone
(573) 222-6221

Physical Address
481 N BEDFORD ST
PUXICO
MO 63960-9144

Owner
PUXICO R-VIII SCHOOL DISTRICT

Mailing Address

Provider/Director
CULBERTSON, LISA ANN

E-mail Address
ecaldwell@puxico.k12.mo.us

Incorporated

Child Care Specialist
SAMINA C ODLE

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
10/20/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2410830096

Document	Document-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: 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.