MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
IMAGINATION STATION PRESCHOOL

Facility DVN
002271447

Phone
(660) 829-2727

Physical Address
1109 E 13TH ST
SEDALIA
MO 65301

Owner
5 S HOLDINGS, LLC

Mailing Address

Provider/Director
MARTIN, ANGELA PEARL

E-mail Address
is-preschool@att.net

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
BIRTH - 6 YEARS

Capacity
37

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
05/11/2022

Arrival Time
11:23 AM

Departure Time
12:03 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2423388921

Document	Document-Date
JOB RESPONSIBILITIES	04/26/2011
SAMPLE FORMS	04/26/2011
SAMPLE WEEKLY MENU	04/26/2011
DIAGRAM/OUTDOOR	02/04/2011
DIAGRAM/INDOOR	02/04/2011
ARTICLES OF INCORPORATION	04/26/2011
LOCAL BUILDING APPROVAL	04/26/2011
DAILY SCHEDULE	03/09/2011
REGISTERING FICTITIOUS NAMES	01/25/2011
LLC ARTICLES OF ORGANIZATION	01/25/2011
LLC OPERATING AGREEMENT	03/08/2017
SAFE SLEEP POLICY	09/10/2018
LINES OF ADMINISTRATIVE AUTHORITY	03/01/2019
APPLICATION	03/01/2019
STAFF SHEET	03/01/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/21/2022
DIRECTOR'S QUALIFICATIONS	03/21/2019
LOCAL ZONING APPROVAL	04/17/2019
FIRE/SAFETY INSPECTION	05/05/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/21/2022
ANNUAL DECLARATION	04/21/2022
POLICIES	05/14/2021
DISCIPLINE POLICIES	05/14/2021
CHILD CARE PRACTICES	05/14/2021
EQUIPMENT LIST	04/21/2022
CERTIFICATE OF GOOD STANDING	05/14/2021
SANITATION INSPECTION	04/27/2022

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 5

Total Children 25

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	2- One year old children and 2- two year old children, Rachel Wagner, staff
4	21	MIXED	2- two year old children, 4- three year old children, 3- four year old children, 13 five year old children, Brittany Kinyon, Tamra Kinyon, Samantha Walter, and Chancey McRoberts, staff