MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

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Facility Information

Facility Name

Facility DVN

Phone

Physical Address

Owner

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist

Age Range

Capacity

Facility Type

Limitations

Inspection Information

Date

Arrival Time

Departure Time

Notice

Inspection Type

Inspection ID

Document	Document-Date
JOB RESPONSIBILITIES	05/20/1992
DIRECTOR'S QUALIFICATIONS	04/25/1996
SAMPLE FORMS	05/20/1992
DAILY SCHEDULE	07/01/1992
SAMPLE WEEKLY MENU	06/01/1992
POLICIES	06/01/1992
DISCIPLINE POLICIES	06/01/1992
CHILD CARE PRACTICES	06/01/1992
DIAGRAM/OUTDOOR	06/01/1992
DIAGRAM/INDOOR	06/01/1992
LOCAL ZONING APPROVAL	05/29/1992
REGISTERING FICTITIOUS NAMES	07/02/2009
APPLICATION	03/20/2018
STAFF SHEET	04/17/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/25/1996
LOCAL BUILDING APPROVAL	06/01/1992
SAFE SLEEP POLICY	04/17/2017
OWNER/PROVIDER REFERENCES	06/01/1992
LOCAL FIRE DEPARTMENT NOTIFICATION	06/01/1992
LICENSING ORIENTATION	06/01/1992
SANITATION INSPECTION	02/18/2022
FIRE/SAFETY INSPECTION	05/11/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/10/2022
EQUIPMENT LIST	05/10/2022
ANNUAL DECLARATION	05/10/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:30PM	4:30PM	4/17/2018

Open Violations:

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Staff	Child	Class Age	Note
1	6	MIXED	children ages three to five; Megan Dorman
2	0	NO CHILDREN IN ATTENDANCE	Sharon Basinger and Ronnie Basinger leaving as CI arrived to go pick up children from school


5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.162 Overlap Care of Children Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Not Observed
5 CSR 25-500.202 Nutrition and Food Service Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed