MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
ARCHIE R-V SCHOOL DISTRICT

Facility DVN
001681096

Phone
(816) 293-5339

Physical Address
302 W STATE ROUTE A
ARCHIE
MO 64725-8217

Owner
ARCHIE R-V SCHOOL DISTRICT

Mailing Address

Provider/Director
COULTER, DARCIE RENEE

E-mail Address
dcoulter@archie.k12.mo.us

Incorporated

Child Care Specialist
JESSICA GLOVER

Age Range
36 MONTHS - 6 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
01/12/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2415827689

Document	Document-Date
LOCAL ZONING APPROVAL	09/27/2002
LOCAL BUILDING APPROVAL	09/27/2002
LINES OF ADMINISTRATIVE AUTHORITY	09/20/2002
SAMPLE FORMS	09/20/2002
DIAGRAM/INDOOR	09/20/2002
DIAGRAM/OUTDOOR	09/20/2002
SAMPLE WEEKLY MENU	09/09/2014
POLICIES	09/09/2014
DISCIPLINE POLICIES	09/09/2014
JOB RESPONSIBILITIES	09/09/2014
DAILY SCHEDULE	09/09/2014
CHILD CARE PRACTICES	09/09/2014
DIRECTOR'S QUALIFICATIONS	03/21/2014
APPLICATION	09/14/2018
STAFF SHEET	09/14/2018
SANITATION INSPECTION	08/27/2020
FIRE/SAFETY INSPECTION	10/12/2021
EQUIPMENT LIST	10/20/2020
ANNUAL DECLARATION	11/30/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/30/2021

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.