DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLEARWATER LICENSED DAY CARE CENTER, INC.

000174083

(573) 223-7494

113 PIEDMONT AVE
PIEDMONT
MO  63957

CLEARWATER LICENSED DAY CARE CENTER, INC.



 

SCOTT, BETH ANN

mrs.beth@hotmail.com

Incorporated

SARAH L THACKER

6 WEEKS - 13 YEARS

50

GROUP HOME AND CENTER

12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/08/2023

9:50 AM

10:28 AM

UNANNOUNCED

COMPLIANCE MONITORING

2442660369


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 08/26/1985
LOCAL ZONING APPROVAL 08/15/2014
JOB RESPONSIBILITIES 05/30/1985
CHILD CARE PRACTICES 05/30/1985
DAILY SCHEDULE 05/30/1985
SAMPLE WEEKLY MENU 05/30/1985
ARTICLES OF INCORPORATION 05/30/1985
DISCIPLINE POLICIES 07/28/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/10/2016
POLICIES 07/28/2000
SAFE SLEEP POLICY 09/10/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/15/2014
DIAGRAM/INDOOR 07/22/2014
DIAGRAM/OUTDOOR 07/22/2014
DIRECTOR'S QUALIFICATIONS 12/18/1997
APPLICATION 05/14/2018
STAFF SHEET 07/12/2018
EQUIPMENT LIST 07/27/2021
FIRE/SAFETY INSPECTION 07/12/2022
SANITATION INSPECTION 07/14/2022
ANNUAL DECLARATION 07/21/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/21/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/10/2014



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 5
Total Children 28
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Caregiver Estrella Weaver with children ages 6 months to 22 months.
3 11 MIXED Caregivers Melisa Allen, Beth Ann Scott, and Melony Quinton with 1 child 2 years of age and 10 children ages 3 to 4.
1 13 SCHOOL AGE Caregiver Chelsea Smith with children ages 6 to 8.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
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
Violation
 Provider Comments
Violation
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by bedding was soiled/wet.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Corrected on Site

Compliance Date
3/8/2023
Violation
Furniture/equipment, 4 shelving units, in the school age room was not in good condition as evidenced by there was exposed particle board making the surface not easily cleanable.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
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