DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

AGES & STAGES LEARNING CENTER, INC.

001266820

(636) 398-3000

3925 HIGHWAY D
DEFIANCE
MO  63341

AGES & STAGES LEARNING CENTER, INC.

3925 HIGHWAY D
DEFIANCE
MO  63341

LUKITSCH, TYNA M

AGESANDSTAGES@HOTMAIL.COM

Incorporated

AMY MUSSELMAN

BIRTH - 16 YEARS

123

GROUP HOME AND CENTER

24 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/29/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2444005561


DocumentDocument-Date
SAMPLE FORMS 02/09/2007
SAMPLE WEEKLY MENU 02/25/1999
CHILD CARE PRACTICES 02/18/1999
LINES OF ADMINISTRATIVE AUTHORITY 02/25/1999
JOB RESPONSIBILITIES 02/25/1999
DISCIPLINE POLICIES 02/18/1999
DAILY SCHEDULE 02/25/1999
DIAGRAM/OUTDOOR 06/04/1999
DIAGRAM/INDOOR 06/04/1999
ARTICLES OF INCORPORATION 02/09/2007
POLICIES 02/09/2007
STAFF SHEET 09/21/2018
SAFE SLEEP POLICY 01/03/2019
APPLICATION 09/21/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2019
DIRECTOR'S QUALIFICATIONS 05/22/2019
LOCAL BUILDING APPROVAL 02/06/2023
CERTIFICATE OF GOOD STANDING 03/10/2021
LOCAL ZONING APPROVAL 02/06/2023
SANITATION INSPECTION 10/26/2022
FIRE/SAFETY INSPECTION 01/17/2023
EQUIPMENT LIST 02/06/2023
ANNUAL DECLARATION 02/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/06/2023




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
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
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 08/23/2021.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
3/29/2023
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