DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LICKING R-VIII SCHOOL DISTRICT

001688099

(573) 674-3211

312 WALKER ST
LICKING
MO  65542-9879

LICKING R-VIII SCHOOL DISTRICT

125 COLLEGE AVE
LICKING
MO  65542-9878

CLONTS, TERESA ANN

TCLONTS@LICKING.K12.MO.US


ALLA GERASIMOVA

4 YEARS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

06/22/2023

12:24 PM

12:24 PM

UNANNOUNCED

SUPPLEMENTAL

2449627907


DocumentDocument-Date
DISCIPLINE POLICIES 11/12/2008
LOCAL ZONING APPROVAL 11/20/2002
JOB RESPONSIBILITIES 11/21/2002
CHILD CARE PRACTICES 04/29/2002
SAMPLE WEEKLY MENU 04/29/2002
DAILY SCHEDULE 11/21/2002
DIAGRAM/OUTDOOR 12/09/2002
DIAGRAM/INDOOR 12/09/2002
DIRECTOR'S QUALIFICATIONS 01/11/2010
POLICIES 05/07/2012
LINES OF ADMINISTRATIVE AUTHORITY 11/21/2002
LOCAL BUILDING APPROVAL 11/20/2002
LOCAL FIRE DEPARTMENT NOTIFICATION 10/31/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/10/2018
FIRE/SAFETY INSPECTION 12/19/2022
SANITATION INSPECTION 10/25/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/03/2023
ANNUAL DECLARATION 01/03/2023
EQUIPMENT LIST 01/03/2023




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.

 
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
Not Observed
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
Violation
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