DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PLAY LEARN ACHIEVE ACADEMY, LLC

002430033

(573) 216-3855

765 W US HIGHWAY 54
CAMDENTON
MO  65020-6951

PLAY LEARN ACHIEVE ACADEMY, LLC



 

BLAIR, CARINA LYN

carina@plaacademy.com


ALISON MICHELE EVANS

24 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

11/09/2021

12:00 PM

12:50 PM

UNANNOUNCED

COMPLIANCE MONITORING

2412284892


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/15/2013
DIAGRAM/OUTDOOR 10/30/2013
DISCIPLINE POLICIES 10/04/2013
LOCAL ZONING APPROVAL 08/15/2013
CERTIFICATE OF GOOD STANDING 10/30/2013
LLC ARTICLES OF ORGANIZATION 10/30/2013
DAILY SCHEDULE 10/04/2013
LINES OF ADMINISTRATIVE AUTHORITY 10/04/2013
JOB RESPONSIBILITIES 10/04/2013
SAMPLE WEEKLY MENU 10/04/2013
DIAGRAM/INDOOR 10/04/2013
CHILD CARE PRACTICES 11/07/2013
POLICIES 11/07/2013
SAMPLE FORMS 10/04/2013
LOCAL BUILDING APPROVAL 10/31/2013
REGISTERING FICTITIOUS NAMES 10/30/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 11/08/2013
OWNER/PROVIDER REFERENCES 11/08/2013
LLC OPERATING AGREEMENT 11/07/2013
EQUIPMENT LIST 10/13/2020
APPLICATION 08/21/2019
STAFF SHEET 08/21/2019
SANITATION INSPECTION 09/15/2021
FIRE/SAFETY INSPECTION 08/05/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:10AM   11:45AM   9/25/2017



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 3
Total Children 12
StaffChildClass AgeNote
2 12 MIXED Carissa Balir and Chelsea Wright with 12 children which one was two year old.
1 0 NO CHILDREN IN ATTENDANCE Vicki Barrett-Cook

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Carissa Blair, Chelsea Wright and Vicki Barrett within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 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

Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren).
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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