MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
UNLEASHING POTENTIAL

Facility DVN
002898271

Phone
(314) 776-3551

Physical Address
2845 WASHINGTON AVE
ST LOUIS
MO 63103-1303

Owner
UNLEASHING POTENTIAL

Mailing Address
1000 N VANDEVENTER AVE
ST LOUIS
MO 63113-3459

Provider/Director
LEWIS, SHANISE SHERITTA

E-mail Address
ghampton@upstl.org

Incorporated
Incorporated

Child Care Specialist
REGINA WATKINS

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
06/20/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2449444978

Document	Document-Date
ANNUAL DECLARATION	01/12/2023
LOCAL FIRE DEPARTMENT NOTIFICATION	12/16/2021
CERTIFICATE OF GOOD STANDING	09/20/2021
APPLICATION	01/25/2022
DIRECTOR'S QUALIFICATIONS	09/20/2021
DAILY SCHEDULE	09/20/2021
SAMPLE FORMS	09/20/2021
POLICIES	09/20/2021
CHILD CARE PRACTICES	09/20/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/20/2021
DIAGRAM/INDOOR	09/20/2021
DIAGRAM/OUTDOOR	09/20/2021
DISCIPLINE POLICIES	09/20/2021
JOB RESPONSIBILITIES	09/20/2021
LINES OF ADMINISTRATIVE AUTHORITY	02/04/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/27/2023
SAMPLE WEEKLY MENU	09/20/2021
EQUIPMENT LIST	02/03/2023
ARTICLES OF INCORPORATION	09/20/2021

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.