MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
MISSION: ST. LOUIS

Facility DVN
002614380

Phone
(314) 880-4458

Physical Address
1900 LAFAYETTE AVE
ST LOUIS
MO 63104-2526

Owner
MISSION: ST. LOUIS

Mailing Address

Provider/Director
LUPTON, KEKUA R

E-mail Address
kekua.lupton@missionstl.org

Incorporated
Incorporated

Child Care Specialist
JOYCE E GREEN

Age Range
7 YEARS - 15 YEARS

Capacity
75

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/10/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2445006022

Document	Document-Date
APPLICATION	07/31/2019
CHILD CARE PRACTICES	08/02/2019
DAILY SCHEDULE	08/02/2019
DIAGRAM/INDOOR	08/02/2019
DIAGRAM/OUTDOOR	08/02/2019
DIRECTOR'S QUALIFICATIONS	08/02/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/02/2019
DISCIPLINE POLICIES	08/02/2019
JOB RESPONSIBILITIES	08/02/2019
LINES OF ADMINISTRATIVE AUTHORITY	08/02/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	08/02/2019
POLICIES	08/02/2019
SAMPLE FORMS	08/02/2019
SAMPLE WEEKLY MENU	08/02/2019
STAFF SHEET	08/02/2019
ARTICLES OF INCORPORATION	08/02/2019
CERTIFICATE OF GOOD STANDING	08/02/2019
EQUIPMENT LIST	07/21/2022
ANNUAL DECLARATION	07/21/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/22/2022

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.