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
ARTICLES OF INCORPORATION	08/19/2010
SAMPLE WEEKLY MENU	08/05/2010
SAMPLE FORMS	08/05/2010
POLICIES	05/28/2010
LINES OF ADMINISTRATIVE AUTHORITY	08/05/2010
JOB RESPONSIBILITIES	08/05/2010
DIAGRAM/OUTDOOR	08/19/2010
DIAGRAM/INDOOR	05/12/2010
DAILY SCHEDULE	08/05/2010
CHILD CARE PRACTICES	05/28/2010
DIRECTOR'S QUALIFICATIONS	09/25/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/17/2012
STAFF SHEET	03/13/2020
APPLICATION	03/13/2020
SANITATION INSPECTION	06/01/2023
FIRE/SAFETY INSPECTION	02/27/2023
EQUIPMENT LIST	03/09/2023
ANNUAL DECLARATION	05/16/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/16/2023

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.

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 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 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