MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CLAYTON, KELLY LYNN

Facility DVN
000328970

Phone
(660) 248-2405

Physical Address
430 STATE RTE W
FAYETTE
MO 65248-9705

Owner
CLAYTON, KELLY LYNN

Mailing Address

Provider/Director
CLAYTON, KELLY LYNN

E-mail Address
klly_clayton@yahoo.com

Incorporated

Child Care Specialist
LU A GAINES

Age Range
24 MONTHS - 10 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/13/2023

Arrival Time
10:11 AM

Departure Time
11:02 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2444836191

Document	Document-Date
LOCAL FIRE DEPARTMENT NOTIFICATION	10/22/2018
SAMPLE WEEKLY MENU	11/29/1999
LINES OF ADMINISTRATIVE AUTHORITY	11/29/1999
POLICIES	11/29/1999
CHILD CARE PRACTICES	11/29/1999
DISCIPLINE POLICIES	11/29/1999
DAILY SCHEDULE	11/29/1999
LOCAL ZONING APPROVAL	11/29/1999
DIRECTOR'S QUALIFICATIONS	11/30/1999
DIAGRAM/OUTDOOR	09/10/1999
DIAGRAM/INDOOR	09/10/1999
STAFF SHEET	11/01/2022
APPLICATION	09/27/2019
JOB RESPONSIBILITIES	09/27/2019
OWNER/PROVIDER REFERENCES	09/27/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/22/2019
FIRE/SAFETY INSPECTION	12/19/2022
SANITATION INSPECTION	08/22/2022
EQUIPMENT LIST	11/01/2022
ANNUAL DECLARATION	11/01/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/01/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	9/18/2019

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 3

Total Children 17

Staff	Child	Class Age	Note
3	17	MIXED	Staff Kelly Clayton, Gleandell Clayton and Nikki Lewis present with children ranging in ages 2 years - 5 years old.


5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
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 Not Observed
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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
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 Not Observed
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Not Observed
5 CSR 25-500.202 Nutrition and Food Service Compliance
5 CSR 25-500.212 Transportation and Field Trips Not Observed
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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