MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
EXCLUSIVE KIDZ ZONE

Facility DVN
002835918

Phone
(314) 641-9882

Physical Address
3740 MARINE AVE
ST LOUIS
MO 63118-4175

Owner
EXCLUSIVE KIDZ ZONE

Mailing Address
2813 LAFAYETTE AVE
ST LOUIS
MO 63104-2015

Provider/Director
BLOUNT, TAMIKO

E-mail Address
teneshabady@gmail.com

Incorporated
Incorporated

Child Care Specialist
JOYCE E GREEN

Age Range
4 YEARS - 12 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
11/29/2022

Arrival Time
3:30 PM

Departure Time
5:28 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2436016400

Document	Document-Date
ARTICLES OF INCORPORATION	10/14/2019
CHILD CARE PRACTICES	10/21/2020
DIAGRAM/INDOOR	07/31/2020
DIAGRAM/OUTDOOR	10/21/2020
DISCIPLINE POLICIES	10/21/2020
EQUIPMENT LIST	06/29/2020
LINES OF ADMINISTRATIVE AUTHORITY	10/15/2020
JOB RESPONSIBILITIES	10/15/2020
STAFF SHEET	10/22/2020
SAMPLE WEEKLY MENU	10/21/2020
SAMPLE FORMS	07/22/2020
POLICIES	10/21/2020
LOCAL ZONING APPROVAL	10/05/2020
LOCAL BUILDING APPROVAL	10/05/2020
FIRE/SAFETY INSPECTION	08/09/2022
LOCAL FIRE DEPARTMENT NOTIFICATION	11/06/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/22/2020
DIRECTOR'S QUALIFICATIONS	10/28/2020
DAILY SCHEDULE	11/10/2020
CERTIFICATE OF GOOD STANDING	07/24/2020
APPLICATION	11/06/2020
CERTIFICATE OF GOOD STANDING	11/04/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/22/2020
DIRECTOR'S QUALIFICATIONS	10/28/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	11/06/2020
SANITATION INSPECTION	08/18/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 13

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 3

Total Children 22

Staff	Child	Class Age	Note
3	22	SCHOOL AGE	LW, site supervisor, RC, program assistant and RB, program assistant, were present with twenty-two children, aged 4-years old to 8-years old.

Compliance List
5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Violation
5 CSR 25-500.052 Annual Requirements Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
5 CSR 25-500.087 Fire Safety Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Violation
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
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 Violation
5 CSR 25-500.202 Nutrition and Food Service Violation
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Violation
5 CSR 25-600.020 General Requirements Violation
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