MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
OSAGE COUNTY R-III SCHOOL DISTRICT

Facility DVN
001476460

Phone
(573) 455-2375

Physical Address
1927 HIGHWAY 63
WESTPHALIA
MO 65085-2214

Owner
OSAGE COUNTY R-III SCHOOL DISTRICT

Mailing Address
PO BOX 37
WESTPHALIA
MO 65085-0037

Provider/Director
HEIMERICKS, TRISHA LOUISE

E-mail Address
heimerickst@fatimacomets.org

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
36 MONTHS - 6 YEARS

Capacity
58

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
06/29/2022

Arrival Time
9:30 AM

Departure Time
11:14 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2426276513

Document	Document-Date
SAMPLE WEEKLY MENU	05/22/2000
LINES OF ADMINISTRATIVE AUTHORITY	05/22/2000
DIRECTOR'S QUALIFICATIONS	08/10/2004
JOB RESPONSIBILITIES	04/06/2001
SAMPLE FORMS	04/06/2001
POLICIES	04/06/2001
DISCIPLINE POLICIES	04/06/2001
CHILD CARE PRACTICES	04/06/2001
DIAGRAM/OUTDOOR	04/06/2001
DIAGRAM/INDOOR	04/06/2001
DAILY SCHEDULE	04/06/2001
APPLICATION	02/20/2020
STAFF SHEET	02/20/2020
EQUIPMENT LIST	03/04/2022
ANNUAL DECLARATION	03/04/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/04/2022
SANITATION INSPECTION	03/18/2022
FIRE/SAFETY INSPECTION	04/14/2022

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 31

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	Trisha (Heimricks) Riechel with 0 children in the main office. Alexa Holzschuh on premises with 0 children on break.
3	31	PRESCHOOL	Kennedy Holzschuh, Carol Pryor and Samantha Eisterhold with 31 children, eight children age 3, eleven children age 4 and twelve children age 5.