MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
KIRKSVILLE R-III SCHOOL DISTRICT

Facility DVN
002011727

Phone
(660) 626-1459

Physical Address
1405 S COTTAGE GROVE
KIRKSVILLE
MO 63501

Owner
KIRKSVILLE R-III SCHOOL DISTRICT

Mailing Address

Provider/Director
KLOCKE, MELISSA ROSE

E-mail Address
mklocke@kirksville.k12.mo.us

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
6 WEEKS - 6 YEARS

Capacity
175

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/01/2022

Arrival Time
9:26 AM

Departure Time
10:46 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2436462941

Document	Document-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.

Attendance at Time of Inspection

Total Staff 33

Total Children 114

Staff	Child	Class Age	Note
2	10	MIXED	3-5 old child. One five year old child. S.A .K.G. staff
2	9	MIXED	3-5 year children 6- five year old children. L.K S.R staff
2	14	MIXED	4-5 year old children 7- five year old children J.H. A.Q.
3	14	MIXED	3-5 years old. 8- five year children J.M. H.R.
3	15	MIXED	3-5 year old children. 2- five year old children M.W. P.K. staff
2	8	MIXED	2-3 year old children. 6- two year old children. J.P, C.T. staff
2	9	PRESCHOOL	All five year old children. R.B. M.M. staff
2	11	PRESCHOOL
2	11	PRESCHOOL	3-4 year old children M.C. T.A. A.B. staff
4	7	PRESCHOOL	3-4 year old chlldren. C.H. K.B. C.C. B.S. staff
4	2	PRESCHOOL	3-4 year old children. A.L. M.A. A.B. A.B. staff
5	4	PRESCHOOL	3-4 year old children. M.S. W.B. S.W. C.W. S.S.