DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KIDS VILLAGE WEST LLC

002471034

(573) 860-2900

36 TAYLOR ST
SULLIVAN
MO  63080-1934

KIDS VILLAGE WEST LLC



 

ZELCH, CAITLIN

kidsvillagewest@att.net


ALLA GERASIMOVA

BIRTH - 12 YEARS

63

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

08/09/2023

3:10 PM

5:48 PM

UNANNOUNCED

COMPLIANCE MONITORING

2452502059


DocumentDocument-Date
SAMPLE FORMS 07/21/2014
CHILD CARE PRACTICES 05/19/2014
DISCIPLINE POLICIES 05/19/2014
POLICIES 07/21/2014
SAMPLE WEEKLY MENU 06/20/2014
DAILY SCHEDULE 07/21/2014
JOB RESPONSIBILITIES 08/06/2014
LINES OF ADMINISTRATIVE AUTHORITY 05/19/2014
LLC ARTICLES OF ORGANIZATION 08/06/2014
LLC OPERATING AGREEMENT 08/06/2014
STAFF SHEET 06/08/2018
SAFE SLEEP POLICY 06/28/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/31/2018
DIRECTOR'S QUALIFICATIONS 03/14/2019
DIAGRAM/OUTDOOR 10/13/2018
DIAGRAM/INDOOR 10/13/2018
APPLICATION 06/22/2020
LOCAL BUILDING APPROVAL 08/19/2021
LOCAL ZONING APPROVAL 08/19/2021
CERTIFICATE OF GOOD STANDING 08/19/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/24/2023
SANITATION INSPECTION 05/09/2023
FIRE/SAFETY INSPECTION 07/18/2023
EQUIPMENT LIST 07/24/2023
ANNUAL DECLARATION 07/24/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:45PM   4:45PM   11/12/2019



Inspection determined facility to be in compliance with licensing rules.
Compliance 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.
Attendance at Time of Inspection
Total Staff 11
Total Children 22
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Annabella Koch with two babies under 12 month old.
2 6 INFANTS AND TODDLERS Megan Strollo and Ava Harris with six babies age 12-24 month.
3 4 MIXED Summers Madison, Mehl , Madelyn, Houston, Courtney with four kids ages 2-3.
2 6 MIXED Griffin, Angela, Blankenship, Saidie with six children ages 3-12 years old.
2 0 NO CHILDREN IN ATTENDANCE Caitlin Zelch , Jessica Weisner with no children in attendance
1 4 TWO YEAR OLDS Natalie Lucas with four children all age 2 years old.

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
Violation
 Provider Comments
Violation
The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
8/9/2023
5 CSR 25-500.087 Fire Safety
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
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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