MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CHILD LIFE ACADEMY PRESCHOOL AND DAYCARE LLC

Facility DVN
002765002

Phone
(417) 732-2014

Physical Address
689 E HINES ST
REPUBLIC
MO 65738-1168

Owner
CHILD LIFE ACADEMY PRESCHOOL AND DAYCARE LLC

Mailing Address

Provider/Director
RUMMEL, WENDY M

E-mail Address
wendyknock@yahoo.com

Incorporated

Child Care Specialist
SUNDEE BUMGARNER

Age Range
24 MONTHS - 13 YEARS

Capacity
35

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/06/2022

Arrival Time
3:10 PM

Departure Time
5:29 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2447212884

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	03/29/2019
APPLICATION	03/11/2019
CHILD CARE PRACTICES	03/25/2019
DAILY SCHEDULE	03/25/2019
DIAGRAM/INDOOR	03/27/2019
DIAGRAM/OUTDOOR	03/27/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/25/2019
DISCIPLINE POLICIES	03/25/2019
LINES OF ADMINISTRATIVE AUTHORITY	03/25/2019
LLC OPERATING AGREEMENT	03/25/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	03/20/2019
POLICIES	03/25/2019
SAMPLE WEEKLY MENU	03/25/2019
STAFF SHEET	03/11/2019
EQUIPMENT LIST	03/08/2023
ANNUAL DECLARATION	03/08/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/08/2023
FIRE/SAFETY INSPECTION	03/06/2023
SANITATION INSPECTION	01/13/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	5/9/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 23

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 2

Total Children 17

Staff	Child	Class Age	Note
1	8	PRESCHOOL	Caregiver Emily Roberts with eight children age 3 years old.
1	9	PRESCHOOL	Caregiver Keaton Prevo with nine children ages 4-5 years old.

Compliance List
5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
5 CSR 25-500.087 Fire Safety Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Violation
5 CSR 25-500.092 Furniture, Equipment and Materials Violation
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
5 CSR 25-500.132 Admission Policies and Procedures Compliance
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.152 Hourly Care Facilities 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 Violation
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 Violation
5 CSR 25-600.020 General Requirements Violation
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