DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LINCOLN R-II SCHOOL DISTRICT

001991813

(660) 547-3097

101 W LAMINE ST
LINCOLN
MO  65338-1101

LINCOLN R-II SCHOOL DISTRICT

PO BOX 39
LINCOLN
MO  65338-0039

BANCROFT, SARAH VIRGINIA

bancrofts@lincoln.k12.mo.us


LACEY BERENDZEN

36 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

12/16/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2437535918


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 12/08/2006
JOB RESPONSIBILITIES 12/08/2006
DIRECTOR'S QUALIFICATIONS 12/08/2006
SAMPLE FORMS 12/08/2006
POLICIES 12/08/2006
SAMPLE WEEKLY MENU 12/08/2006
DAILY SCHEDULE 12/08/2006
DISCIPLINE POLICIES 12/08/2006
DIAGRAM/OUTDOOR 12/08/2006
DIAGRAM/INDOOR 12/08/2006
STAFF SHEET 10/05/2018
APPLICATION 09/26/2018
FIRE/SAFETY INSPECTION 09/08/2022
EQUIPMENT LIST 10/18/2022
ANNUAL DECLARATION 10/18/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/18/2022
SANITATION INSPECTION 09/20/2022




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.

 
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
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for SB, NR, CB, AB within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
12/14/2022
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