MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
SPRINGFIELD-GREENE COUNTY PARK BOARD

Facility DVN
002038762

Phone
(417) 523-7800

Physical Address
4035 W WEAVER RD
BATTLEFIELD
MO 65619-9255

Owner
SPRINGFIELD-GREENE COUNTY PARK BOARD

Mailing Address
300 E HARRISON ST
SPRINGFIELD
MO 65806

Provider/Director
BRADFORD, ELIZABETH R

E-mail Address
dellison@SPRINGFIELDMO.GOV

Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
10 YEARS - 14 YEARS

Capacity
50

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
02/22/2022

Arrival Time
4:00 PM

Departure Time
4:44 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2418820118

Document	Document-Date
ANNUAL DECLARATION	01/25/2022
EQUIPMENT LIST	01/25/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/25/2022
CHILD CARE PRACTICES	06/05/2007
SAMPLE WEEKLY MENU	05/18/2007
DAILY SCHEDULE	05/18/2007
POLICIES	06/05/2007
JOB RESPONSIBILITIES	06/05/2007
LINES OF ADMINISTRATIVE AUTHORITY	05/18/2007
DIAGRAM/OUTDOOR	04/20/2007
DIAGRAM/INDOOR	04/20/2007
DIRECTOR'S QUALIFICATIONS	05/15/2015
APPLICATION	03/01/2019
STAFF SHEET	05/02/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/02/2019

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 2

Total Children 6

Staff	Child	Class Age	Note
2	6	SCHOOL AGE	Caregivers Branden Deckard and Katelynn Deer with six children ages 10-12 years old.

Compliance List
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 Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Violation
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
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 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
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 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