MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

Back

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
SAMPLE WEEKLY MENU	03/19/2014
POLICIES	03/19/2014
LOCAL ZONING APPROVAL	03/19/2014
LOCAL BUILDING APPROVAL	03/19/2014
LINES OF ADMINISTRATIVE AUTHORITY	03/19/2014
JOB RESPONSIBILITIES	03/19/2014
DISCIPLINE POLICIES	03/19/2014
DIRECTOR'S QUALIFICATIONS	03/19/2014
DAILY SCHEDULE	03/19/2014
DIAGRAM/OUTDOOR	03/19/2014
DIAGRAM/INDOOR	03/19/2014
CHILD CARE PRACTICES	03/19/2014
CERTIFICATE OF GOOD STANDING	03/19/2014
LLC OPERATING AGREEMENT	03/11/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/12/2018
APPLICATION	02/21/2020
STAFF SHEET	03/10/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/02/2023
EQUIPMENT LIST	05/02/2023
FIRE/SAFETY INSPECTION	04/03/2023
ANNUAL DECLARATION	05/02/2023
SANITATION INSPECTION	08/15/2022

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.

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Teachers Samantha Banker and Emily Mahnken with children ages 5 months through 15 months old.
2	6	INFANTS AND TODDLERS	Teachers Whitney Stevens and Jennifer Porras with children 15 months through 19 months old.
2	16	MIXED	Teacher Jaisyra Starchman and Melanie Schoudt with children ages 3 years through 5 years old. Melanie was on premise, not in room, during nap time.
2	9	MIXED	Teachers Hannah Lutjen and Carlie Wellman with children ages 2 years and 3 years of age, with 8 two-year-olds.
2	12	TWO YEAR OLDS	Teachers Bethany Chrisco and Sierra Buchanan with children all 2 years old.


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