MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
GOOD SHEPHERD ACADEMY

Facility DVN
001837169

Phone
(314) 351-5437

Physical Address
5500 VIRGINIA AVE
ST LOUIS
MO 63111-1939

Owner
GOOD SHEPHERD PRE-SCHOOL AND DAY CARE, LLC

Mailing Address

Provider/Director
FISHER, TAMMY

E-mail Address
GOODSHEPHERDSTL@ATT.NET

Incorporated

Child Care Specialist
REGINA WATKINS

Age Range
BIRTH - 12 YEARS

Capacity
70

Facility Type
GROUP HOME AND CENTER

Limitations
14 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS; 14 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
02/10/2022

Arrival Time
11:20 AM

Departure Time
12:06 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2417743896

Document	Document-Date
ANNUAL DECLARATION	12/28/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	11/07/2011
LINES OF ADMINISTRATIVE AUTHORITY	04/22/2004
DAILY SCHEDULE	04/22/2004
DISCIPLINE POLICIES	04/22/2004
CHILD CARE PRACTICES	04/22/2004
LOCAL ZONING APPROVAL	12/14/2017
LLC ARTICLES OF ORGANIZATION	12/24/2003
CERTIFICATE OF GOOD STANDING	12/24/2019
DIAGRAM/INDOOR	04/22/2004
DIAGRAM/OUTDOOR	04/22/2004
DIRECTOR'S QUALIFICATIONS	04/07/2005
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/07/2013
POLICIES	04/22/2004
LLC OPERATING AGREEMENT	01/07/2004
SAMPLE WEEKLY MENU	03/19/2004
JOB RESPONSIBILITIES	04/28/2004
REGISTERING FICTITIOUS NAMES	12/24/2019
STAFF SHEET	12/28/2021
EQUIPMENT LIST	12/28/2021
APPLICATION	12/29/2020
LOCAL BUILDING APPROVAL	12/30/2019
FIRE/SAFETY INSPECTION	10/27/2021
SANITATION INSPECTION	11/20/2020

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 5

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 11

Staff	Child	Class Age	Note
1	2	INFANTS AND TODDLERS	Caregiver-Tikina Jones with children ages 8 months
1	9	MIXED	Caregiver-Kathryn Jefferson with children ages 2-4 years. Four children were 2 years old.
1	0	NO CHILDREN IN ATTENDANCE	Tammy Fisher-Director