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

11/17/2021

10:00 AM

11:16 AM

UNANNOUNCED

COMPLIANCE MONITORING

2413018627


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: 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 18
StaffChildClass AgeNote
1 9 MIXED Caregiver, Paige Kincanon, was with four (4) two (2) year old and five (5) three (3) year old children.
1 9 PRESCHOOL Caregiver, Polly Duda, was with two (2) five (5) year old, four (4) year old and three (3) three (3) year old children.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in the big room and middle room was/were not in good condition as evidenced by the cove base was missing in several places.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Furniture/equipment, the safety gate, in the door way between the big room and the middle room was unsafe as evidenced by the safety gate was missing rods creating an entrapment area and 1 rod was not attached at the top of the gate creating the possibility of impalement.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
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