MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LIFE360 COMMUNITY SERVICES

Facility DVN
002536161

Phone
(417) 447-9000

Physical Address
1126 N BROADWAY AVE
SPRINGFIELD
MO 65802-4158

Owner
LIFE360 COMMUNITY SERVICES

Mailing Address

Provider/Director
HAHN, ELIZABETH MAE

E-mail Address
liz@life360.org

Incorporated
Incorporated

Child Care Specialist
ELAINE S COX

Age Range
BIRTH - 12 YEARS

Capacity
49

Facility Type
GROUP HOME AND CENTER

Limitations
6 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
03/15/2022

Arrival Time
11:33 AM

Departure Time
3:02 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2418635430

Document	Document-Date
SANITATION INSPECTION	01/22/2021
ARTICLES OF INCORPORATION	05/29/2015
CHILD CARE PRACTICES	01/29/2016
DAILY SCHEDULE	12/11/2015
DIAGRAM/INDOOR	12/29/2015
DIAGRAM/OUTDOOR	12/29/2015
DIRECTOR'S QUALIFICATIONS	12/29/2015
JOB RESPONSIBILITIES	12/29/2015
LINES OF ADMINISTRATIVE AUTHORITY	12/29/2015
LOCAL ZONING APPROVAL	12/29/2015
POLICIES	01/29/2016
SAMPLE WEEKLY MENU	12/11/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	01/09/2018
SAFE SLEEP POLICY	01/10/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/17/2020
DISCIPLINE POLICIES	01/17/2020
FIRE/SAFETY INSPECTION	01/03/2022
ANNUAL DECLARATION	01/26/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/26/2022
LOCAL BUILDING APPROVAL	01/27/2022
EQUIPMENT LIST	01/27/2022
CERTIFICATE OF GOOD STANDING	09/23/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	1/6/2016

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 18

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 7

Total Children 24

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Alexandra Drebak and Chyenne Smith with 7 children ages 3-months to 23-months-old.
2	7	MIXED	Elizabeth Woods and Natalie Adams with 7 children ages 2-year-old-to 3 years-old.
1	0	NO CHILDREN IN ATTENDANCE	Deborah Williams, Elizabeth Hahn also in the building.
2	10	PRESCHOOL	Lidia Antal and Ashton Morris with 10 children ages 3-years-old to 4-years-old.


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Violation
5 CSR 25-500.052 Annual Requirements Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
5 CSR 25-500.087 Fire Safety Violation
5 CSR 25-500.090 Disaster and Emergency Preparedness Violation
5 CSR 25-500.092 Furniture, Equipment and Materials Violation
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
5 CSR 25-500.132 Admission Policies and Procedures Violation
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 Violation
5 CSR 25-600.020 General Requirements Violation
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