MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SAFE N SOUND PLAYGROUND, INC.

Facility DVN
001905022

Phone
(417) 877-4754

Physical Address
3216 S SCENIC AVE
SPRINGFIELD
MO 65807-3961

Owner
SAFE N SOUND PLAYGROUND, INC.

Mailing Address

Provider/Director
ALLEN, SAMANTHA JANE

E-mail Address
safensound123@gmail.com

Incorporated
Incorporated

Child Care Specialist
BILLIE RUSSELL

Age Range
BIRTH - 12 YEARS

Capacity
136

Facility Type
GROUP HOME AND CENTER

Limitations
38 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/26/2023

Arrival Time
11:00 AM

Departure Time
12:22 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2439931216

Document	Document-Date
CERTIFICATE OF GOOD STANDING	10/17/2012
LINES OF ADMINISTRATIVE AUTHORITY	01/25/2005
JOB RESPONSIBILITIES	01/25/2005
DIRECTOR'S QUALIFICATIONS	01/25/2013
DIAGRAM/OUTDOOR	09/19/2012
ARTICLES OF INCORPORATION	01/25/2005
CHILD CARE PRACTICES	01/25/2005
SAMPLE WEEKLY MENU	02/02/2005
DAILY SCHEDULE	01/25/2005
POLICIES	01/25/2005
DIAGRAM/INDOOR	09/19/2012
LOCAL ZONING APPROVAL	01/25/2005
LOCAL BUILDING APPROVAL	01/25/2005
APPLICATION	09/19/2018
STAFF SHEET	09/19/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/06/2018
DISCIPLINE POLICIES	05/22/2019
SAFE SLEEP POLICY	05/22/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	06/04/2019
ANNUAL DECLARATION	12/01/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/01/2022
EQUIPMENT LIST	12/28/2022
SANITATION INSPECTION	10/11/2022
FIRE/SAFETY INSPECTION	09/28/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 23

Total Children 96

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Kiley McKenney and Tiara Pengilly were with children 18 to 24 months old.
2	6	INFANTS AND TODDLERS	Arial Cotter and Jordan Wiebrg were with children 6 weeks to 10 months.
1	4	INFANTS AND TODDLERS	Janice Arnold was with children 6 to 18 months.
2	8	INFANTS AND TODDLERS	Jennifer Mueller and Angie Elizalde were with children 14 to 18 months old.
2	15	MIXED	Savana Vanwinkle and Erin Noack were with children 2 to 3 years old.
7	0	NO CHILDREN IN ATTENDANCE	Additional staff in building during inspection: Pheonix Wolf, Loren Crick, Samantha Allen, Brandy Argo, Danicia Cruts, Jessica Shew and Christy Deval.
3	24	PRESCHOOL	Kate Bell, Samantha Kinconon, and Samantha Schument were with children 4 and 5 years old.
2	16	PRESCHOOL	Emily Stevens and Samantha Logan were with children 3 to 4 years old.
2	15	TWO YEAR OLDS	Emily Irvine and Amanda Stewart were with 2 year old children.

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 annual fire safety inspection was not conducted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification Submit Documentation Compliance Date

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