MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
GRIGGS, AMBER NICHOLE

Facility DVN
001503260

Phone
(573) 224-5475

Physical Address
303 MAPLE ST
GREENVILLE
MO 63944-8120

Owner
GRIGGS, AMBER NICHOLE

Mailing Address
PO BOX 230
GREENVILLE
MO 63944-0230

Provider/Director
GRIGGS, AMBER NICHOLE

E-mail Address
ambergriggs@windstream.net

Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
6 WEEKS - 12 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
05/16/2022

Arrival Time
10:32 AM

Departure Time
11:12 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2423653019

Document	Document-Date
DIAGRAM/INDOOR	06/02/2009
DIAGRAM/OUTDOOR	06/02/2009
CHILD CARE PRACTICES	09/20/2000
DISCIPLINE POLICIES	09/20/2000
POLICIES	09/20/2000
DAILY SCHEDULE	09/20/2000
SAMPLE WEEKLY MENU	09/20/2000
LINES OF ADMINISTRATIVE AUTHORITY	09/20/2000
JOB RESPONSIBILITIES	10/17/2000
LOCAL ZONING APPROVAL	10/17/2000
DIRECTOR'S QUALIFICATIONS	11/13/2000
OWNER/PROVIDER REFERENCES	08/03/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/13/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	09/19/2017
APPLICATION	08/17/2018
SAFE SLEEP POLICY	03/10/2016
STAFF SHEET	10/15/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/01/2020
EQUIPMENT LIST	10/04/2021
FIRE/SAFETY INSPECTION	09/02/2021
SANITATION INSPECTION	08/31/2021
ANNUAL DECLARATION	10/04/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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 1

Total Children 9

Staff	Child	Class Age	Note
1	9	MIXED	Caregiver Jessica Lewis with one child 18 months of age, one child 23 months of age, one child 2 years of age, and 6 children between the ages of 3 to 4.

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 Violation
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
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