MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LICK CREEK ADVENTURES DAYCARE AND PRESCHOOL

Facility DVN
002595231

Phone
(573) 721-5523

Physical Address
105 W MAIN ST
PERRY
MO 63462-1105

Owner
STEVENER, KAYLA

Mailing Address
24311 SALT LICK PL
PERRY
MO 63462-2069

Provider/Director
STEVENER, KAYLA

E-mail Address
mossk03@hotmail.com

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
6 WEEKS - 12 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
05/20/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2424072439

Document	Document-Date
FIRE/SAFETY INSPECTION	10/04/2021
JOB RESPONSIBILITIES	01/03/2020
SAFE SLEEP POLICY	12/11/2019
STAFF SHEET	01/03/2020
SANITATION INSPECTION	08/24/2021
LOCAL ZONING APPROVAL	12/18/2019
APPLICATION	10/21/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/04/2019
DAILY SCHEDULE	11/05/2019
EQUIPMENT LIST	01/19/2022
DIAGRAM/INDOOR	12/04/2019
DIAGRAM/OUTDOOR	12/05/2019
DISCIPLINE POLICIES	11/05/2019
CHILD CARE PRACTICES	11/05/2019
POLICIES	11/05/2019
REGISTERING FICTITIOUS NAMES	10/28/2019
DIRECTOR'S QUALIFICATIONS	05/18/2016
SAMPLE WEEKLY MENU	11/05/2019
LINES OF ADMINISTRATIVE AUTHORITY	11/05/2019
ANNUAL DECLARATION	01/19/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/20/2022

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.