MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
TIGER CUB CARE

Facility DVN
002692199

Phone
(660) 465-8511

Physical Address
450 E SIGLER AVE
MEMPHIS
MO 63555-1726

Owner
SCOTLAND COUNTY MEMORIAL HOSPITAL DISTRICT

Mailing Address

Provider/Director
SHIVELY, JESSICA SHALEE

E-mail Address
clinel@scotlandcountyhospital.com

Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
BIRTH - 12 YEARS

Capacity
24

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
03/14/2022

Arrival Time
12:50 PM

Departure Time
1:23 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2419704947

Document	Document-Date
ANNUAL DECLARATION	04/05/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/05/2021
APPLICATION	01/18/2019
SAFE SLEEP POLICY	02/08/2019
SANITATION INSPECTION	01/25/2022
FIRE/SAFETY INSPECTION	03/08/2022
REGISTERING FICTITIOUS NAMES	11/22/2017
POLICIES	02/11/2019
CHILD CARE PRACTICES	02/11/2019
DAILY SCHEDULE	02/11/2019
LINES OF ADMINISTRATIVE AUTHORITY	03/13/2019
DISCIPLINE POLICIES	02/11/2019
DIRECTOR'S QUALIFICATIONS	03/22/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/12/2019
JOB RESPONSIBILITIES	03/13/2019
EQUIPMENT LIST	04/05/2021
SAMPLE WEEKLY MENU	03/13/2019
LOCAL ZONING APPROVAL	03/20/2019
DIAGRAM/INDOOR	03/13/2019
SAMPLE FORMS	03/13/2019
STAFF SHEET	05/22/2019
DIAGRAM/OUTDOOR	04/22/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 7

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 4

Total Children 10

Staff	Child	Class Age	Note
1	2	INFANTS AND TODDLERS	Staff: Heather Wilkerson. Age range 9 months and 14 months.
3	8	MIXED	Staff: Lilly Hall, Maddie Priebe, and Lyndee Winn. Age range 2 years through 5 years. Three 2 year old children.