MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CHAMP CLARK ASSOCIATION FOR CHALLENGED CHILDREN

Facility DVN
000279014

Phone
(573) 324-5153

Physical Address
801 S BUSINESS 61
BOWLING GREEN
MO 63334-5237

Owner
CHAMP CLARK ASSOCIATION FOR CHALLENGED CHILDREN

Mailing Address

Provider/Director
MILLAN GLENN, REBECCA

E-mail Address
TLCENTER@SBCGLOBAL.NET

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
BIRTH - 12 YEARS

Capacity
95

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/19/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2432954014

Document	Document-Date
DIAGRAM/INDOOR	01/25/2013
CERTIFICATE OF GOOD STANDING	06/09/2022
APPLICATION	07/23/2019
STAFF SHEET	07/23/2019
EQUIPMENT LIST	07/27/2022
FIRE/SAFETY INSPECTION	09/08/2022
SANITATION INSPECTION	09/22/2022
SAMPLE WEEKLY MENU	02/07/2008
JOB RESPONSIBILITIES	02/07/2008
POLICIES	07/13/2011
DISCIPLINE POLICIES	07/13/2011
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/12/2012
DIRECTOR'S QUALIFICATIONS	08/27/2001
CHILD CARE PRACTICES	07/13/2011
LOCAL BUILDING APPROVAL	02/07/2008
DIAGRAM/OUTDOOR	04/16/1993
ARTICLES OF INCORPORATION	12/28/2021
SAMPLE FORMS	08/18/2005
DAILY SCHEDULE	08/18/2005
ANNUAL DECLARATION	07/27/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/27/2022
LINES OF ADMINISTRATIVE AUTHORITY	04/20/2022
SAFE SLEEP POLICY	04/20/2022

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.