MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LISA'S KIDS LLC

Facility DVN
002739684

Phone
(660) 547-0220

Physical Address
294 S 65 HWY
LINCOLN
MO 65338-2587

Owner
LISA'S KIDS LLC

Mailing Address
330 E JACKSON ST
WARSAW
MO 65355-3224

Provider/Director
OSBORNE, LISA ANN

E-mail Address
lisaann0523@aol.com

Incorporated

Child Care Specialist
LACEY BERENDZEN

Age Range
BIRTH - 12 YEARS

Capacity
40

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/14/2022

Arrival Time
10:45 AM

Departure Time
1:02 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2437350030

Document	Document-Date
APPLICATION	10/04/2018
POLICIES	10/11/2018
DISCIPLINE POLICIES	10/11/2018
DIAGRAM/INDOOR	10/11/2018
DIAGRAM/OUTDOOR	10/11/2018
DAILY SCHEDULE	10/11/2018
DIRECTOR'S QUALIFICATIONS	10/01/2018
SAMPLE WEEKLY MENU	10/11/2018
LINES OF ADMINISTRATIVE AUTHORITY	10/11/2018
CHILD CARE PRACTICES	10/11/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/11/2018
JOB RESPONSIBILITIES	10/11/2018
CERTIFICATE OF GOOD STANDING	08/08/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	10/16/2018
LLC OPERATING AGREEMENT	10/16/2018
LOCAL BUILDING APPROVAL	10/09/2018
SAFE SLEEP POLICY	10/16/2018
LOCAL ZONING APPROVAL	10/26/2018
LLC ARTICLES OF ORGANIZATION	10/26/2018
REGISTERING FICTITIOUS NAMES	10/19/2018
STAFF SHEET	04/29/2019
FIRE/SAFETY INSPECTION	09/20/2022
EQUIPMENT LIST	12/07/2022
SANITATION INSPECTION	09/20/2022
ANNUAL DECLARATION	12/07/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/07/2022

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 5

Total Children 26

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	LO and CL with 8 children. Infant/toddlers were age 4 months - 1 year old.
1	0	NO CHILDREN IN ATTENDANCE	AB in the kitchen.
2	18	PRESCHOOL	KA and NC with 18 children. Four children are age 2 years old and fourteen children are age 3-5 years old.

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
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 Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Violation
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 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 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