MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

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Facility Information

Facility Name

Facility DVN

Phone

Physical Address

Owner

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist

Age Range

Capacity

Facility Type

Limitations

Inspection Information

Date

Arrival Time

Departure Time

Notice

Inspection Type

Inspection ID

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	07/02/2002
SAMPLE FORMS	07/02/2002
CHILD CARE PRACTICES	05/05/2009
JOB RESPONSIBILITIES	05/05/2009
DIRECTOR'S QUALIFICATIONS	05/05/2009
SAMPLE WEEKLY MENU	05/05/2009
DAILY SCHEDULE	05/05/2009
POLICIES	05/05/2009
DIAGRAM/INDOOR	05/05/2009
REGISTERING FICTITIOUS NAMES	08/17/1999
OWNER/PROVIDER REFERENCES	08/11/2000
DISCIPLINE POLICIES	07/02/2002
LOCAL BUILDING APPROVAL	05/05/2009
LOCAL ZONING APPROVAL	05/05/2009
DIAGRAM/OUTDOOR	07/02/2018
APPLICATION	08/17/2020
STAFF SHEET	08/17/2020
SANITATION INSPECTION	02/18/2022
FIRE/SAFETY INSPECTION	06/02/2021
EQUIPMENT LIST	07/28/2021
ANNUAL DECLARATION	07/28/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/26/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	5:00PM	12/21/2012
7:30AM	8:30AM	12/21/2012

Open Violations:

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 Compliance
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 25-500.162 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