DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CLEVER RV SCHOOL DISTRICT

001355966

(417) 743-4810

103 S PUBLIC AVE
CLEVER
MO  65631-9103

CLEVER RV SCHOOL DISTRICT



 

HARVEY, PAULA SUE

harveyp@cleverbluejays.org


SUNDEE BUMGARNER

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/12/2023

1:15 PM

3:30 PM

UNANNOUNCED

COMPLIANCE MONITORING

2444656737


DocumentDocument-Date
ANNUAL DECLARATION 03/08/2023
EQUIPMENT LIST 03/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/06/2023
SANITATION INSPECTION 02/07/2023
LINES OF ADMINISTRATIVE AUTHORITY 02/18/2000
DIRECTOR'S QUALIFICATIONS 04/03/2007
CHILD CARE PRACTICES 02/07/2000
SAMPLE WEEKLY MENU 02/18/2000
DAILY SCHEDULE 02/07/2000
POLICIES 02/18/2000
DIAGRAM/OUTDOOR 03/24/2000
DIAGRAM/INDOOR 03/24/2000
LOCAL ZONING APPROVAL 03/24/2000
LOCAL BUILDING APPROVAL 03/24/2000
DISCIPLINE POLICIES 02/07/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/14/2018
FIRE/SAFETY INSPECTION 12/06/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 7
Total Children 28
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Director Chelsea Satterlee
2 8 PRESCHOOL Teachers Sheila Newman and Jaci Bilyeu with 8 children ages 3-4
2 10 PRESCHOOL Teacher Kerri Winger and Melissa Lepper with 10 children ages 3-4
2 10 PRESCHOOL Teachers Rosario Hedgpath and Maddie Davison subbing

 
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 approved.
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

Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date
3/3/2023
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date
3/3/2023
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by the facility is only licensed for two rooms to be operating. Room 810 is a third room that is in use as a classroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Abby Wallace.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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