MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LITTLE MONSTER'S CLUBHOUSE, LLC, DBA LITTLE LEARNERS ACADEMY

Facility DVN
002918650

Phone
(573) 438-7575

Physical Address
10965 STATE HIGHWAY 185
POTOSI
MO 63664-8344

Owner
LITTLE MONSTER'S CLUBHOUSE, LLC

Mailing Address

Provider/Director
MEDLOCK, JAMIE LYNN

E-mail Address
LITTLELEARNERS1832@GMAIL.COM

Incorporated

Child Care Specialist
BRITTANY HECHT

Age Range
BIRTH - 12 YEARS

Capacity
58

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
10/18/2023

Arrival Time
2:34 PM

Departure Time
4:34 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2456888096

Document	Document-Date
APPLICATION	11/30/2021
CHILD CARE PRACTICES	11/30/2021
DIAGRAM/INDOOR	11/30/2021
DIAGRAM/OUTDOOR	11/30/2021
DAILY SCHEDULE	11/30/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/30/2021
DISCIPLINE POLICIES	11/30/2021
EQUIPMENT LIST	12/15/2021
FIRE/SAFETY INSPECTION	10/27/2021
JOB RESPONSIBILITIES	11/30/2021
LINES OF ADMINISTRATIVE AUTHORITY	12/15/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/18/2023
POLICIES	11/30/2021
SAFE SLEEP POLICY	11/30/2021
SAMPLE WEEKLY MENU	11/30/2021
LLC ARTICLES OF ORGANIZATION	12/15/2021
LLC OPERATING AGREEMENT	12/15/2021
REGISTERING FICTITIOUS NAMES	12/15/2021
APPLICATION	06/01/2022
CHILD CARE PRACTICES	11/30/2021
DAILY SCHEDULE	10/05/2022
DIAGRAM/OUTDOOR	11/30/2021
DIRECTOR'S QUALIFICATIONS	10/05/2022
DISCIPLINE POLICIES	11/30/2021
FIRE/SAFETY INSPECTION	06/21/2022
JOB RESPONSIBILITIES	10/15/2022
LICENSING ORIENTATION	06/23/2022
LINES OF ADMINISTRATIVE AUTHORITY	12/15/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/11/2022
LLC ARTICLES OF ORGANIZATION	12/15/2021
LLC OPERATING AGREEMENT	12/15/2021
LOCAL BUILDING APPROVAL	08/29/2022
LOCAL ZONING APPROVAL	08/29/2022
LOCAL FIRE DEPARTMENT NOTIFICATION	06/29/2022
REGISTERING FICTITIOUS NAMES	12/15/2021
SAFE SLEEP POLICY	11/30/2021
SAMPLE WEEKLY MENU	11/30/2021
POLICIES	10/17/2022
SANITATION INSPECTION	09/30/2022
DIAGRAM/INDOOR	01/11/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/14/2023
EQUIPMENT LIST	10/05/2023
ANNUAL DECLARATION	10/18/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	10/22/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 12

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 8

Total Children 34

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Madison Govero & Brianna Rogers, Caregivers 7 - 3-20 Month Olds
3	17	MIXED	Debbie Moses, Cook/Caregiver Ashley Moses, Caregiver Tiffani Kurtwright, Registered Behavioral Therapist with Positive Behavior Services, Corporation 16 - 3-5 Year Olds 1 - 7 Year Old
1	0	NO CHILDREN IN ATTENDANCE	Kyhra Dippery, Caregiver/Managing Member (Returning from Break)
2	10	TWO YEAR OLDS	Jamie Medlock, Director Alley Kirby, Caregiver 8 - 2 Year Olds


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
5 CSR 25-500.087 Fire Safety Violation
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Violation
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
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