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
SAMPLE FORMS	12/07/2007
LINES OF ADMINISTRATIVE AUTHORITY	09/01/2000
DIRECTOR'S QUALIFICATIONS	07/24/2006
DIAGRAM/INDOOR	08/04/2011
CHILD CARE PRACTICES	03/07/2002
ARTICLES OF INCORPORATION	02/24/2012
SAMPLE WEEKLY MENU	10/13/2011
POLICIES	10/13/2011
JOB RESPONSIBILITIES	09/01/2000
DIAGRAM/OUTDOOR	09/01/2000
DAILY SCHEDULE	09/01/2000
DISCIPLINE POLICIES	10/13/2011
LOCAL ZONING APPROVAL	04/22/2000
REGISTERING FICTITIOUS NAMES	09/09/1981
APPLICATION	03/11/2020
STAFF SHEET	03/11/2021
SANITATION INSPECTION	01/05/2023
EQUIPMENT LIST	05/17/2023
FIRE/SAFETY INSPECTION	05/26/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/17/2023
ANNUAL DECLARATION	05/17/2023

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.

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

Compliance

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

Compliance

5 CSR 25-500.087 Fire Safety

Violation

	Provider Comments
Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification Submit Documentation Compliance Date 6/2/2023

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

Compliance

5 CSR 25-500.132 Admission Policies and Procedures

Compliance

5 CSR 25-500.142 Nighttime Care

Compliance

5 CSR 25-500.162 Overlap Care of Children

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