MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
PAPER MOON EARLY LEARNING CENTER LLC

Facility DVN
002114269

Phone
(573) 424-1134

Physical Address
703 IDLEWOOD CT
COLUMBIA
MO 65203-3132

Owner
PAPER MOON EARLY LEARNING CENTER LLC

Mailing Address

Provider/Director

E-mail Address
director@papermoonelc.com

Incorporated

Child Care Specialist
CHRISTINA BRUCE

Age Range
BIRTH - 2 YEARS

Capacity
8

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
03/15/2022

Arrival Time
3:24 PM

Departure Time
3:24 PM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2419786600

Document	Document-Date
DAILY SCHEDULE	02/09/2018
SAMPLE WEEKLY MENU	03/06/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/23/2018
LLC OPERATING AGREEMENT	03/09/2018
CHILD CARE/DISCIPLINE POLICIES	03/21/2018
OWNER/PROVIDER REFERENCES	03/28/2018
SAMPLE FORMS	03/06/2018
CERTIFICATE OF INCORPORATION	03/28/2018
SAFE SLEEP POLICY	03/21/2018
APPLICATION	02/18/2020
EQUIPMENT LIST	02/18/2020
SANITATION INSPECTION	12/14/2020
ANNUAL DECLARATION	01/28/2021
FIRE/SAFETY INSPECTION	12/08/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/22/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

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 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Not Observed
5 CSR 25-400.055 Annual Requirements Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Violation
5 CSR 25-400.086 Fire Safety Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Violation
5 CSR 25-400.115 Day Care Family and Household Not Observed
5 CSR 25-400.125 Medical Examination Reports Violation
5 CSR 25-400.135 Admission Policies and Procedures Not Observed
5 CSR 25-400.145 Nighttime Care Not Observed
5 CSR 25-400.155 Overlap Care of Children Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Not Observed
5 CSR 25-400.185 Health Care Not Observed
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Not Observed
5 CSR 25-400.210 Records and Reports Not Observed
5 CSR 25-600.020 Background Screening Findings Not Observed
5 CSR 25-600.040 General Requirements Not Observed
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. Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance