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
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/02/2012
LINES OF ADMINISTRATIVE AUTHORITY	06/15/2009
DISCIPLINE POLICIES	05/28/2003
POLICIES	05/28/2003
SAMPLE WEEKLY MENU	03/18/2009
DAILY SCHEDULE	03/18/2009
OWNER/PROVIDER REFERENCES	12/16/1994
DIRECTOR'S QUALIFICATIONS	07/28/1999
DIAGRAM/INDOOR	01/26/2006
DIAGRAM/OUTDOOR	01/26/2006
CHILD CARE PRACTICES	05/28/2003
JOB RESPONSIBILITIES	06/18/2009
APPLICATION	03/26/2019
STAFF SHEET	03/26/2019
SAFE SLEEP POLICY	02/07/2019
REGISTERING FICTITIOUS NAMES	09/28/2016
FIRE/SAFETY INSPECTION	05/16/2023
SANITATION INSPECTION	04/17/2023
EQUIPMENT LIST	06/28/2023
ANNUAL DECLARATION	06/28/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/28/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	7/20/2005

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.

Staff	Child	Class Age	Note
3	19	MIXED	Staff: Dayna Hobart, Tracy Bock, Breanna Garner. Age range 8 months through 4 years. Four children under 24 months. Five 2 year old children. All the children were in the main room together eating lunch.