DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

MARYVILLE R-II SCHOOL DISTRICT

000369828

(660) 671-1572

418 E 2ND ST
MARYVILLE
MO  64468-1703

MARYVILLE R II SCHOOL DISTRICT

1515 S MUNN
MARYVILLE
MO  64468

JONES, KASSONDRA RENAE

TALLY@MARYVILLER2.COM


MICHELLE RENEE TRUSSELL

5 YEARS - 10 YEARS

210

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

03/23/2022

2:30 PM

4:12 PM

UNANNOUNCED

COMPLIANCE MONITORING

2420449719


DocumentDocument-Date
ANNUAL DECLARATION 02/18/2022
EQUIPMENT LIST 02/18/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/18/2022
DISCIPLINE POLICIES 12/04/1989
CHILD CARE PRACTICES 12/04/1989
POLICIES 12/04/1989
DAILY SCHEDULE 12/19/1989
SAMPLE WEEKLY MENU 12/19/1989
LINES OF ADMINISTRATIVE AUTHORITY 12/04/1989
JOB RESPONSIBILITIES 12/04/1989
DIRECTOR'S JOB RESPONSIBILITIES 12/04/1989
DIRECTOR'S QUALIFICATIONS 11/17/2017
APPLICATION 09/18/2019




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.
Attendance at Time of Inspection
Total Staff 12
Total Children 101
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Lori Tally & Beth Mires was present but not counted in staff/child ratios
3 23 SCHOOL AGE Tyler Coleman, Jessie Berger & Peyton Gilley was present with children ages 5-years to 6-years old.
2 28 SCHOOL AGE Breanna Epperson & Paige West was present with children ages 6-years to 7-years old.
2 23 SCHOOL AGE Lydia Schrum & Kaylee Jacobs was present with children ages 7-years to 8-years old.
3 27 SCHOOL AGE Halie Engler, Logan Jackson & Kyle Singley was present with children ages 8-years to 9-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
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 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file .
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
3/23/2022
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