MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CLEARWATER LICENSED DAY CARE CENTER, INC.

Facility DVN
000174083

Phone
(573) 223-7494

Physical Address
113 PIEDMONT AVE
PIEDMONT
MO 63957

Owner
CLEARWATER LICENSED DAY CARE CENTER, INC.

Mailing Address

Provider/Director
SCOTT, BETH ANN

E-mail Address
mrs.beth@hotmail.com

Incorporated
Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
6 WEEKS - 13 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
09/15/2022

Arrival Time
10:44 AM

Departure Time
11:21 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2431017677

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	08/26/1985
LOCAL ZONING APPROVAL	08/15/2014
JOB RESPONSIBILITIES	05/30/1985
CHILD CARE PRACTICES	05/30/1985
DAILY SCHEDULE	05/30/1985
SAMPLE WEEKLY MENU	05/30/1985
ARTICLES OF INCORPORATION	05/30/1985
DISCIPLINE POLICIES	07/28/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/10/2016
POLICIES	07/28/2000
SAFE SLEEP POLICY	09/10/2016
LOCAL FIRE DEPARTMENT NOTIFICATION	08/15/2014
DIAGRAM/INDOOR	07/22/2014
DIAGRAM/OUTDOOR	07/22/2014
DIRECTOR'S QUALIFICATIONS	12/18/1997
APPLICATION	05/14/2018
STAFF SHEET	07/12/2018
EQUIPMENT LIST	07/27/2021
FIRE/SAFETY INSPECTION	07/12/2022
SANITATION INSPECTION	07/14/2022
ANNUAL DECLARATION	07/21/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/21/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	9/10/2014

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 6

Total Children 19

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Caregivers Lacie Brown and Estrella Weaver with children ages 10 months to 23 months.
2	13	MIXED	Caregivers Melanie Quinton and Melisa Allen with 4 children 2 years of age and 9 children 3 years of age.
2	0	NO CHILDREN IN ATTENDANCE	Additional staff on the premises include Beth Scott (Director) and Chelsea Fuller (Cook).


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