MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
PLAY LEARN ACHIEVE ACADEMY, LLC

Facility DVN
002430033

Phone
(573) 216-3855

Physical Address
765 W US HIGHWAY 54
CAMDENTON
MO 65020-6951

Owner
PLAY LEARN ACHIEVE ACADEMY, LLC

Mailing Address

Provider/Director
BLAIR, CARINA LYN

E-mail Address
carina@plaacademy.com

Incorporated

Child Care Specialist
LACEY THOMPSON

Age Range
24 MONTHS - 6 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/21/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2422228712

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	08/15/2013
DIAGRAM/OUTDOOR	10/30/2013
DISCIPLINE POLICIES	10/04/2013
LOCAL ZONING APPROVAL	08/15/2013
CERTIFICATE OF GOOD STANDING	10/30/2013
LLC ARTICLES OF ORGANIZATION	10/30/2013
DAILY SCHEDULE	10/04/2013
LINES OF ADMINISTRATIVE AUTHORITY	10/04/2013
JOB RESPONSIBILITIES	10/04/2013
SAMPLE WEEKLY MENU	10/04/2013
DIAGRAM/INDOOR	10/04/2013
CHILD CARE PRACTICES	11/07/2013
POLICIES	11/07/2013
SAMPLE FORMS	10/04/2013
LOCAL BUILDING APPROVAL	10/31/2013
REGISTERING FICTITIOUS NAMES	10/30/2013
LOCAL FIRE DEPARTMENT NOTIFICATION	11/08/2013
OWNER/PROVIDER REFERENCES	11/08/2013
LLC OPERATING AGREEMENT	11/07/2013
APPLICATION	08/21/2019
STAFF SHEET	08/21/2019
FIRE/SAFETY INSPECTION	04/04/2022
EQUIPMENT LIST	11/10/2021
SANITATION INSPECTION	09/15/2021
ANNUAL DECLARATION	11/10/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/10/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:10AM	11:45AM	9/25/2017

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.

5 CSR 25-500.032 Organization and Administration

Compliance

5 CSR 25-500.042 Licensing Process

Compliance

5 CSR 25-500.052 Annual Requirements

Violation

	Provider Comments
Violation The annual fire safety inspection was not conducted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification Submit Documentation Compliance Date 4/4/2022

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

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 25-500.142 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