DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KIRKSVILLE R-III SCHOOL DISTRICT

002011727

(660) 626-1459

1405 S COTTAGE GROVE
KIRKSVILLE
MO  63501

KIRKSVILLE R-III SCHOOL DISTRICT



 

KLOCKE, MELISSA ROSE

mklocke@kirksville.k12.mo.us


ELLEN DONOHO

6 WEEKS - 6 YEARS

175

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/17/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2429194135


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/27/2008
LINES OF ADMINISTRATIVE AUTHORITY 02/27/2008
DIRECTOR'S JOB RESPONSIBILITIES 02/27/2008
JOB RESPONSIBILITIES 02/27/2008
DAILY SCHEDULE 03/17/2010
CHILD CARE PRACTICES 04/11/2016
DISCIPLINE POLICIES 04/11/2016
POLICIES 04/11/2016
DIAGRAM/INDOOR 03/10/2008
DIAGRAM/OUTDOOR 03/10/2008
SAMPLE FORMS 03/04/2008
SAFE SLEEP POLICY 03/01/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/06/2019
APPLICATION 03/10/2020
DIRECTOR'S QUALIFICATIONS 04/28/2008
STAFF SHEET 07/29/2020
SANITATION INSPECTION 03/02/2022
FIRE/SAFETY INSPECTION 03/30/2021
EQUIPMENT LIST 05/14/2022
ANNUAL DECLARATION 04/25/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/25/2022




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
8/12/2022
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