MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
PUXICO R-VIII SCHOOL DISTRICT

Facility DVN
001506338

Phone
(573) 222-6221

Physical Address
481 N BEDFORD ST
PUXICO
MO 63960-9144

Owner
PUXICO R-VIII SCHOOL DISTRICT

Mailing Address

Provider/Director
CULBERTSON, LISA ANN

E-mail Address
ecaldwell@puxico.k12.mo.us

Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/21/2022

Arrival Time
2:00 PM

Departure Time
2:30 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2422123154

Document	Document-Date
JOB RESPONSIBILITIES	05/25/2016
DAILY SCHEDULE	05/25/2016
DIAGRAM/INDOOR	05/25/2016
DIAGRAM/OUTDOOR	05/25/2016
CHILD CARE PRACTICES	05/25/2016
DISCIPLINE POLICIES	05/25/2016
POLICIES	05/25/2016
SAMPLE WEEKLY MENU	06/01/2016
DIRECTOR'S QUALIFICATIONS	07/12/2016
LINES OF ADMINISTRATIVE AUTHORITY	06/18/2016
LOCAL FIRE DEPARTMENT NOTIFICATION	06/01/2016
LOCAL ZONING APPROVAL	06/01/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/18/2016
APPLICATION	05/13/2020
STAFF SHEET	04/14/2020
SANITATION INSPECTION	03/16/2022
FIRE/SAFETY INSPECTION	01/11/2022
ANNUAL DECLARATION	04/21/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/21/2022
EQUIPMENT LIST	04/21/2022

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 19

Staff	Child	Class Age	Note
2	19	PRESCHOOL	Caregivers Lisa Culbertson (Director) and Erin Caldwell with children ages 3 to 5.