MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
ADAIR COUNTY R-I SCHOOL DISTRICT

Facility DVN
001852026

Phone
(660) 488-6411

Physical Address
600 ROMBAUER AVE
NOVINGER
MO 63559-2477

Owner
ADAIR COUNTY R-I SCHOOL DISTRICT

Mailing Address

Provider/Director
CHASE, RACHAEL JUNE

E-mail Address
rchase@novinger.k12.mo.us

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/06/2023

Arrival Time
9:24 AM

Departure Time
10:35 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2444610338

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	08/27/2004
LOCAL ZONING APPROVAL	08/16/2007
JOB RESPONSIBILITIES	08/27/2004
DIAGRAM/OUTDOOR	08/20/2004
DIAGRAM/INDOOR	10/25/2007
CHILD CARE PRACTICES	06/25/2008
DISCIPLINE POLICIES	06/25/2008
POLICIES	06/25/2008
SAMPLE WEEKLY MENU	08/20/2004
DAILY SCHEDULE	05/01/2012
SAMPLE FORMS	08/20/2004
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/01/2012
DIRECTOR'S QUALIFICATIONS	09/30/2019
APPLICATION	07/09/2020
STAFF SHEET	05/11/2020
SANITATION INSPECTION	01/11/2023
EQUIPMENT LIST	03/02/2022
ANNUAL DECLARATION	03/10/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/02/2022
FIRE/SAFETY INSPECTION	12/20/2022

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 16

Staff	Child	Class Age	Note
2	16	MIXED	2- three year old children 7- four year old children 7- five year old children Rachael Chase and Janie Wernert, staff


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 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