MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MYERS, KAREN DIANE

Facility DVN
001978936

Phone
(660) 537-3598

Physical Address
19431 STACEY CT
BOONVILLE
MO 65233-3537

Owner
MYERS, KAREN DIANE

Mailing Address

Provider/Director
MYERS, KAREN DIANE

E-mail Address
KarenMy1968@yahoo.com

Incorporated

Child Care Specialist
LU A GAINES

Age Range
2 MONTHS - 7 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
05/23/2023

Arrival Time
9:50 AM

Departure Time
10:49 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2446869986

Document	Document-Date
APPLICATION	08/15/2019
CHILD CARE PRACTICES	10/02/2019
DAILY SCHEDULE	10/02/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/02/2019
DISCIPLINE POLICIES	10/02/2019
JOB RESPONSIBILITIES	10/02/2019
LINES OF ADMINISTRATIVE AUTHORITY	10/02/2019
LOCAL ZONING APPROVAL	10/02/2019
POLICIES	10/02/2019
STAFF SHEET	11/21/2022
DIAGRAM/INDOOR	10/16/2019
DIAGRAM/OUTDOOR	12/23/2011
DIRECTOR'S QUALIFICATIONS	10/17/2019
OWNER/PROVIDER REFERENCES	12/27/2011
SAFE SLEEP POLICY	01/14/2015
SAMPLE WEEKLY MENU	12/06/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	12/26/2018
SANITATION INSPECTION	09/30/2022
EQUIPMENT LIST	11/21/2022
ANNUAL DECLARATION	11/21/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/21/2022
FIRE/SAFETY INSPECTION	08/04/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:30AM	1:30PM	2/5/2020

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 19

Staff	Child	Class Age	Note
3	19	MIXED	Staff Karen Myers, Kristen Myers and Maggie Myers present with children ages 18 months - 7 years old, with 1 child under 2 years old in the group.