MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
PAPER MOON EARLY LEARNING CENTER LLC

Facility DVN
002838326

Phone
(573) 447-0131

Physical Address
4470 N HIGHWAY 763
COLUMBIA
MO 65202-1043

Owner
PAPER MOON EARLY LEARNING CENTER LLC

Mailing Address

Provider/Director
NICHOLS, JACQUELINE BEATRICE

E-mail Address
director@papermoonelc.com

Incorporated

Child Care Specialist
MARLA CHRISCO

Age Range
BIRTH - 12 YEARS

Capacity
99

Facility Type
GROUP HOME AND CENTER

Limitations
24 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
06/02/2023

Arrival Time
12:00 PM

Departure Time
2:00 PM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2448534385

Document	Document-Date
EQUIPMENT LIST	08/12/2022
ANNUAL DECLARATION	08/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/12/2022
SANITATION INSPECTION	04/12/2022
FIRE/SAFETY INSPECTION	10/26/2022
APPLICATION	06/23/2020
DIAGRAM/INDOOR	07/21/2020
DIAGRAM/OUTDOOR	07/21/2020
STAFF SHEET	07/21/2020
DIRECTOR'S QUALIFICATIONS	07/29/2020
LINES OF ADMINISTRATIVE AUTHORITY	07/21/2020
DISCIPLINE POLICIES	07/21/2020
SAMPLE WEEKLY MENU	07/21/2020
DAILY SCHEDULE	07/21/2020
JOB RESPONSIBILITIES	07/21/2020
CHILD CARE PRACTICES	07/21/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/21/2020
POLICIES	07/21/2020
SAMPLE FORMS	07/21/2020
LLC ARTICLES OF ORGANIZATION	07/21/2020
LLC OPERATING AGREEMENT	07/21/2020
LOCAL ZONING APPROVAL	08/07/2020
LOCAL BUILDING APPROVAL	08/07/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	8/5/2020

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 14

Total Children 71

Staff	Child	Class Age	Note
2	5	INFANTS AND TODDLERS	Megan Bishop and Jadyn Ayers were with five children ages 5-months-old to 11-months-old.
2	7	INFANTS AND TODDLERS	Kayln Thomas and Erica Newell were with seven children ages 11-months-old to 17-months-old.
2	8	INFANTS AND TODDLERS	Michelle Cowgill and Emily Lawton were with eight children ages 12-months-old to 23-months-old.
0	0	MIXED	Also on premises but not counted in ratio were Liz Snyder, Assistant Director Megan Barte, and Kacy Bergfeld, and the cook Bianca.
2	13	MIXED	Kaylee Drysdle and Amanda Brill were with thirteen children ages 2-years-old to 3-years-old with five children being 2-years-old.
1	7	PRESCHOOL	Lauren Farris was with seven children ages 3-years-old.
3	19	PRESCHOOL	Patricia Calvert, Ainsley Sanders, and Savanna Terry were with nineteen children ages 4-years-old to 5-years-old.
2	12	TWO YEAR OLDS	Karryssa Bellamy and Jerica Jackson were with twelve children ages 2-years-old with all children being 2-years-old.

5 CSR 25-500.032 Organization and Administration

Not Observed

5 CSR 25-500.042 Licensing Process

Not Observed

5 CSR 25-500.052 Annual Requirements

Not Observed

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation

	Provider Comments
Violation The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that a section of the fencing was broken and folded over almost laying on the ground. . Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required The outdoor play area shall be accessible without hazard. Correction Verification Submit Documentation Compliance Date

5 CSR 25-500.087 Fire Safety

Not Observed

5 CSR 25-500.090 Disaster and Emergency Preparedness

Not Observed

5 CSR 25-500.092 Furniture, Equipment and Materials

Not Observed

5 CSR 25-500.102 Personnel

Not Observed

5 CSR 25-500.112 Staff/Child Ratios

Not Observed

5 CSR 25-500.122 Medical Examination Reports

Not Observed

5 CSR 25-500.132 Admission Policies and Procedures

Not Observed

5 CSR 25-500.142 Nighttime Care

Not Observed

5 CSR 25-500.162 Overlap Care of Children

Not Observed

5 CSR 25-500.172 Emergency School Closings

Not Observed

5 CSR 25-500.182 Child Care Program

Not Observed

5 CSR 25-500.192 Health Care

Not Observed

5 CSR 25-500.202 Nutrition and Food Service

Not Observed

5 CSR 25-500.212 Transportation and Field Trips

Not Observed

5 CSR 25-500.222 Records and Reports

Not Observed

5 CSR 25-600.020 General Requirements

Not Observed

5 CSR 25-600.040 Background Screening Findings

Not Observed

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. —

Not Observed

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Not Observed