MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

Back

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
DISCIPLINE POLICIES	01/21/2018
SAFE SLEEP POLICY	01/21/2018
DIAGRAM/INDOOR	01/21/2018
LOCAL BUILDING APPROVAL	02/07/2018
LLC ARTICLES OF ORGANIZATION	02/07/2018
LLC OPERATING AGREEMENT	02/07/2018
SAMPLE FORMS	02/07/2018
DIAGRAM/OUTDOOR	01/21/2018
DAILY SCHEDULE	01/21/2018
CERTIFICATE OF GOOD STANDING	02/07/2018
LOCAL ZONING APPROVAL	02/07/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	02/26/2018
JOB RESPONSIBILITIES	02/26/2018
LINES OF ADMINISTRATIVE AUTHORITY	02/26/2018
DIRECTOR'S QUALIFICATIONS	02/26/2018
SAMPLE WEEKLY MENU	02/26/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/26/2018
APPLICATION	10/30/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/07/2021
FIRE/SAFETY INSPECTION	01/18/2023
EQUIPMENT LIST	01/24/2023
STAFF SHEET	02/14/2023
ANNUAL DECLARATION	02/14/2023
SANITATION INSPECTION	12/02/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	4:30PM	1/8/2021
8:00AM	9:00AM	1/8/2021

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.


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
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 Compliance
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 Not Observed
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Not Observed
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 Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Not Observed
5 CSR 25-500.202 Nutrition and Food Service Compliance
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. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance