DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PAPER MOON EARLY LEARNING CENTER LLC

002838326

(573) 447-0131

4470 N HIGHWAY 763
COLUMBIA
MO  65202-1043

PAPER MOON EARLY LEARNING CENTER LLC



 

NICHOLS, JACQUELINE BEATRICE

director@papermoonelc.com


CHRISTINA BRUCE

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/12/2022

1:10 PM

3:01 PM

UNANNOUNCED

COMPLIANCE MONITORING

2429942930


DocumentDocument-Date
APPLICATION 06/23/2020
DIAGRAM/INDOOR 07/21/2020
DIAGRAM/OUTDOOR 07/21/2020
STAFF SHEET 07/21/2020
DIRECTOR'S QUALIFICATIONS 07/29/2020
LINES OF ADMINISTRATIVE AUTHORITY 07/21/2020
DISCIPLINE POLICIES 07/21/2020
SAMPLE WEEKLY MENU 07/21/2020
DAILY SCHEDULE 07/21/2020
JOB RESPONSIBILITIES 07/21/2020
CHILD CARE PRACTICES 07/21/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/21/2020
POLICIES 07/21/2020
SAMPLE FORMS 07/21/2020
LLC ARTICLES OF ORGANIZATION 07/21/2020
LLC OPERATING AGREEMENT 07/21/2020
LOCAL ZONING APPROVAL 08/07/2020
LOCAL BUILDING APPROVAL 08/07/2020
FIRE/SAFETY INSPECTION 04/14/2021
EQUIPMENT LIST 08/12/2022
ANNUAL DECLARATION 08/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/12/2022
SANITATION INSPECTION 04/12/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/5/2020



Inspection determined facility to be in compliance with licensing rules.
Compliance 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 16
Total Children 75
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS children ages 10 months to 14 months; Kayln Thomas and Addy Morris
2 8 INFANTS AND TODDLERS children ages 16 months to 23 months; Tori Wyble and Chloe Kauggman
2 7 INFANTS AND TODDLERS children ages 8 weeks to 10 months; Olivia Meurer and Kristen Thompson
1 8 MIXED children ages three to five; Kacy Bergfeld
2 12 MIXED 9 children age two; 3 children age three; Haleigh Schlogl and Austen Ketterman
2 17 MIXED children ages four and five; Kate Gibson and Megan Wolfe
3 15 MIXED 3 children age 23 months; 12 children age two; Mona Evans, Victoria Mullen, McKensie Moutray
2 0 NO CHILDREN IN ATTENDANCE Jackie Nichols, director and Megan Barte, assistant director

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
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

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The infant/toddler space had 15 infants, toddlers, and 2-year-olds that were in the room.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room;
Correction Required
The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

Correction Verification
Return Inspection

Compliance Date

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
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 15 children, ages 23 months to 2 years old, were cared for by 3 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

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