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
CERTIFICATE OF GOOD STANDING	08/02/2023
LLC ARTICLES OF ORGANIZATION	07/15/2013
REGISTERING FICTITIOUS NAMES	08/02/2023
POLICIES	03/08/2013
DIAGRAM/OUTDOOR	03/08/2013
DIAGRAM/INDOOR	03/08/2013
DAILY SCHEDULE	03/08/2013
CHILD CARE/DISCIPLINE POLICIES	03/08/2013
ASSISTANT APPROVAL REQUEST	08/14/2013
SAMPLE WEEKLY MENU	03/08/2013
LLC OPERATING AGREEMENT	06/05/2017
ASSISTANT REFERENCES	04/19/2013
OWNER/PROVIDER REFERENCES	04/29/2013
APPLICATION	04/04/2019
SAFE SLEEP POLICY	06/03/2016
EQUIPMENT LIST	08/02/2023
ANNUAL DECLARATION	08/02/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/02/2023
FIRE/SAFETY INSPECTION	05/17/2023
SANITATION INSPECTION	05/20/2022

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 25-400.025 Organization and Administration

Compliance

5 CSR 25-400.045 Licensing Process

Compliance

5 CSR 25-400.055 Annual Requirements

Violation

	Provider Comments
Violation The annual sanitation inspection was not conducted. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification Submit Documentation Compliance Date

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Compliance

5 CSR 25-400.086 Fire Safety

Compliance

5 CSR 25-400.090 Disaster and Emergency Preparedness

Compliance

5 CSR 25-400.095 Furniture, Equipment and Materials

Compliance

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Compliance

5 CSR 25-400.115 Child Care Family and Household

Compliance

5 CSR 25-400.125 Medical Examination Reports

Compliance

5 CSR 25-400.135 Admission Policies and Procedures

Compliance

5 CSR 25-400.145 Nighttime Care

Compliance

5 CSR 25-400.155 Overlap Care of Children

Not Observed

5 CSR 25-400.165 Emergency School Closings

Not Observed

5 CSR 25-400.175 Child Care Program

Compliance

5 CSR 25-400.185 Health Care

Compliance

5 CSR 25-400.190 Nutrition and Food Service

Not Observed

5 CSR 25-400.200 Transportation and Field Trips

Compliance

5 CSR 25-400.210 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

RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Compliance