MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
WILD BLOOMS CHILDCARE CENTER LLC

Facility DVN
002728561

Phone
(573) 491-3799

Physical Address
328 STATE ROAD AE
NEW BLOOMFIELD
MO 65063-5402

Owner
WILD BLOOMS CHILDCARE CENTER LLC

Mailing Address
8575 STATE ROAD BB
NEW BLOOMFIELD
MO 65063-1335

Provider/Director
SCHAFFER, ALAXANDRA NICOLE

E-mail Address
wildbloomschildcare@gmail.com

Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
6 WEEKS - 12 YEARS

Capacity
60

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 15 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
03/03/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2419071111

Document	Document-Date
APPLICATION	09/05/2018
CHILD CARE PRACTICES	08/01/2018
DIAGRAM/OUTDOOR	09/11/2018
DIRECTOR'S QUALIFICATIONS	08/30/2018
DISCIPLINE POLICIES	08/01/2018
LLC OPERATING AGREEMENT	08/01/2018
LLC ARTICLES OF ORGANIZATION	08/01/2018
LINES OF ADMINISTRATIVE AUTHORITY	07/26/2018
POLICIES	08/01/2018
SAMPLE FORMS	08/01/2018
STAFF SHEET	07/26/2018
SAMPLE WEEKLY MENU	08/01/2018
LOCAL ZONING APPROVAL	09/19/2018
JOB RESPONSIBILITIES	09/26/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	08/18/2018
LOCAL BUILDING APPROVAL	09/19/2018
DIAGRAM/INDOOR	09/05/2019
DAILY SCHEDULE	09/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/05/2019
SAFE SLEEP POLICY	08/01/2018
EQUIPMENT LIST	12/02/2021
FIRE/SAFETY INSPECTION	05/18/2021
SANITATION INSPECTION	08/31/2021
ANNUAL DECLARATION	11/18/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/02/2021

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.

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 Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
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 Compliance
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