DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

WINONA R-III SCHOOL DISTRICT

002609412

(573) 325-8101

8256 STATE HIGHWAY 19
WINONA
MO  65588-8514

WINONA R-III SCHOOL DISTRICT

PO BOX 248
WINONA
MO  65588-0248

VOYLES, STEPHANIE DAWN

i_b_stephi@hotmail.com


SARAH L THACKER

5 YEARS - 13 YEARS

100

SCHOOL AGE

 
Inspection Information

06/14/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2448752398


DocumentDocument-Date
APPLICATION 09/17/2018
DAILY SCHEDULE 09/17/2018
DIRECTOR'S JOB RESPONSIBILITIES 09/17/2018
DISCIPLINE POLICIES 08/29/2018
LINES OF ADMINISTRATIVE AUTHORITY 08/29/2018
POLICIES 08/29/2018
SAMPLE FORMS 09/17/2018
SAMPLE WEEKLY MENU 09/17/2018
CHILD CARE PRACTICES 10/16/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/16/2018
JOB RESPONSIBILITIES 09/17/2018
STAFF SHEET 12/11/2018
DIRECTOR'S QUALIFICATIONS 10/12/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/12/2022
EQUIPMENT LIST 09/12/2022
ANNUAL DECLARATION 09/12/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date
6/8/2023
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date
6/14/2023
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date
6/14/2023
Violation
The Family Care Safety Registry check was not conducted for Tina Haynes, Beverly Hollis, Lindy Hollis, Amanda Kyle, Jennifer Mayberry, Angelia McAfee, Kathy Shomaker, Erica Vermillion, Danny Voyles, Delhia Voyles, Sara Voyles, Stephanie Voyles, and Valerie Voyles within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
6/14/2023
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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
Violation
 Provider Comments
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by 1 child was missing the school age health report.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
6/14/2023
5 CSR 25-500.132 Admission Policies and Procedures
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