MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

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Facility Information

Facility Name

Facility DVN

Phone

Physical Address

Owner

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist

Age Range

Capacity

Facility Type

Limitations

Inspection Information

Date

Arrival Time

Departure Time

Notice

Inspection Type

Inspection ID

Document	Document-Date
JOB RESPONSIBILITIES	03/29/2016
DIRECTOR'S QUALIFICATIONS	03/29/2016
SAMPLE FORMS	03/29/2016
CHILD CARE PRACTICES	03/30/2016
DISCIPLINE POLICIES	03/30/2016
LINES OF ADMINISTRATIVE AUTHORITY	03/30/2016
ARTICLES OF INCORPORATION	03/30/2016
LOCAL BUILDING APPROVAL	03/30/2016
LOCAL ZONING APPROVAL	03/30/2016
DIAGRAM/OUTDOOR	12/17/2015
DIAGRAM/INDOOR	12/17/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	03/30/2016
SAMPLE WEEKLY MENU	03/29/2016
DAILY SCHEDULE	03/29/2016
REGISTERING FICTITIOUS NAMES	03/30/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/15/2018
SAFE SLEEP POLICY	02/15/2018
APPLICATION	02/18/2020
CERTIFICATE OF GOOD STANDING	02/19/2020
POLICIES	04/07/2021
STAFF SHEET	03/01/2021
EQUIPMENT LIST	03/17/2023
FIRE/SAFETY INSPECTION	02/28/2023
SANITATION INSPECTION	12/20/2022
ANNUAL DECLARATION	03/17/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/17/2023

Open Violations:

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 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