DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PAPER MOON EARLY LEARNING CENTER LLC

002838326

(573) 447-0131

4470 N HIGHWAY 763
COLUMBIA
MO  65202-1043

PAPER MOON EARLY LEARNING CENTER LLC



 

NICHOLS, JACQUELINE BEATRICE

director@papermoonelc.com


CHRISTINA BRUCE

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/21/2022

10:00 AM

11:23 AM

UNANNOUNCED

COMPLIANCE MONITORING

2420715696


DocumentDocument-Date
DIAGRAM/OUTDOOR 07/21/2020
STAFF SHEET 07/21/2020
DIRECTOR'S QUALIFICATIONS 07/29/2020
LINES OF ADMINISTRATIVE AUTHORITY 07/21/2020
DISCIPLINE POLICIES 07/21/2020
SAMPLE WEEKLY MENU 07/21/2020
DAILY SCHEDULE 07/21/2020
JOB RESPONSIBILITIES 07/21/2020
CHILD CARE PRACTICES 07/21/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/21/2020
POLICIES 07/21/2020
SAMPLE FORMS 07/21/2020
LLC ARTICLES OF ORGANIZATION 07/21/2020
LLC OPERATING AGREEMENT 07/21/2020
LOCAL ZONING APPROVAL 08/07/2020
LOCAL BUILDING APPROVAL 08/07/2020
ANNUAL DECLARATION 06/22/2021
SANITATION INSPECTION 05/28/2021
FIRE/SAFETY INSPECTION 04/14/2021
APPLICATION 06/23/2020
DIAGRAM/INDOOR 07/21/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/5/2020



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 16
Total Children 76
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS all children age one; Tori Wyble and LeighAnna Engle
2 7 INFANTS AND TODDLERS all children age one; Katelyn Gibson and Courtney Phillips
2 7 INFANTS AND TODDLERS children ages 5 months to 10 months; Kayln Thomas and Sarah Shuey
1 6 MIXED children ages three to five; Jessie Stone
2 16 MIXED children ages four and five; Jen Crowley and Megan Wolfe
2 10 MIXED children ages two and three; Austen Ketterman and Haleigh Schlogl
2 15 MIXED 1 child age 23 months; 14 children age two; Chloe Kauffman and Victoria Mullen
2 0 NO CHILDREN IN ATTENDANCE Megan Barte, assistant director and Mona Evans, cook
1 8 PRESCHOOL children age three; Kacy Bergfeld

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 25-500.087 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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Megan Barte needs 2.5 hours, Mckensie Moutray needs 1 hour, Jackie Nichols needs 8 hours, and Cedric Walker needs 2 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 15 children, ages 23 months to 2 years, were cared for by two caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

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