MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
NORTHWEST MISSOURI STATE UNIVERSITY

Facility DVN
000259376

Phone
(660) 562-1542

Physical Address
800 UNIVERSITY DR
MARYVILLE
MO 64468

Owner
NORTHWEST MISSOURI STATE UNIVERSITY

Mailing Address

Provider/Director
KING, LAURA MARIE

E-mail Address
lmking@nwmissouri.edu

Incorporated

Child Care Specialist
KATIE BRUGGEMAN

Age Range
6 WEEKS - 6 YEARS

Capacity
68

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
09/27/2023

Arrival Time
11:20 AM

Departure Time
12:31 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2455822026

Document	Document-Date
LOCAL ZONING APPROVAL	02/04/1994
LOCAL BUILDING APPROVAL	02/04/1994
DAILY SCHEDULE	12/10/1993
SAMPLE WEEKLY MENU	12/10/1993
SAMPLE FORMS	12/10/1993
DIRECTOR'S QUALIFICATIONS	08/27/2012
LINES OF ADMINISTRATIVE AUTHORITY	09/29/2009
POLICIES	09/29/2009
DISCIPLINE POLICIES	09/29/2009
CHILD CARE PRACTICES	09/29/2009
APPLICATION	01/31/2020
STAFF SHEET	03/21/2021
DIAGRAM/INDOOR	06/24/2021
DIAGRAM/OUTDOOR	06/29/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/01/2021
SAFE SLEEP POLICY	06/28/2021
JOB RESPONSIBILITIES	07/06/2021
FIRE/SAFETY INSPECTION	02/14/2023
SANITATION INSPECTION	01/18/2023
ANNUAL DECLARATION	04/07/2023
EQUIPMENT LIST	04/07/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/07/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

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 13

Total Children 61

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Caregivers: Michelle Vaught and Victoria Hays were present with seven kids all under the age of 18 months.
2	8	MIXED	Caregivers: Olivia Adams and Ajay Komatineni were present with seven 1 year olds and one two year old.
1	0	NO CHILDREN IN ATTENDANCE	Staff: Kevin Pitts with no children in attendance.
3	17	PRESCHOOL	Caregivers: Julie Michaelson, Melanie Benner and Gracelyn Swank were present with seventeen 3-5 year olds.
3	17	PRESCHOOL	Caregivers: Erica Yokom, Julia Wilburn, Gretchen Wehmeyer were present with seventeen 3-5 year olds.
2	12	TWO YEAR OLDS	Caregivers: Rachel Wood and Kristiana Wolfgeher were present with twelve 2 year olds.

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 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 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