MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CLEARWATER LICENSED DAY CARE CENTER, INC.

Facility DVN
000174083

Phone
(573) 223-7494

Physical Address
113 PIEDMONT AVE
PIEDMONT
MO 63957

Owner
CLEARWATER LICENSED DAY CARE CENTER, INC.

Mailing Address

Provider/Director
SCOTT, BETH ANN

E-mail Address
mrs.beth@hotmail.com

Incorporated
Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
6 WEEKS - 13 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
03/15/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2443169673

Document	Document-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 Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	9/10/2014

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

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 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 3/14/2023

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