MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MORELAND DAY CARE INC.

Facility DVN
002000211

Phone
(660) 885-8795

Physical Address
115 E ELM ST
CLINTON
MO 64735-1426

Owner
MORELAND DAY CARE INC.

Mailing Address

Provider/Director
MOTHERSBAUGH, SAMANTHA BROOKE

E-mail Address
MORELAND04@EMBARQMAIL.COM

Incorporated
Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
BIRTH - 12 YEARS

Capacity
96

Facility Type
GROUP HOME AND CENTER

Limitations
24 CHILDREN IN THE INFANT/TODDLER UNIT; 16 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/18/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2456985253

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	09/21/2006
JOB RESPONSIBILITIES	09/21/2006
DIRECTOR'S QUALIFICATIONS	09/21/2006
ARTICLES OF INCORPORATION	08/14/2006
SAMPLE FORMS	07/19/2006
CHILD CARE PRACTICES	09/21/2006
SAMPLE WEEKLY MENU	09/21/2006
DAILY SCHEDULE	09/21/2006
POLICIES	09/21/2006
DIAGRAM/OUTDOOR	09/21/2006
DIAGRAM/INDOOR	06/12/2006
LOCAL ZONING APPROVAL	07/21/2006
LOCAL BUILDING APPROVAL	09/21/2006
CERTIFICATE OF GOOD STANDING	05/05/2016
STAFF SHEET	06/08/2020
APPLICATION	06/08/2020
EQUIPMENT LIST	07/21/2023
SANITATION INSPECTION	07/21/2023
FIRE/SAFETY INSPECTION	04/18/2023
ANNUAL DECLARATION	07/21/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/21/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	7/15/2016

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.


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 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 Violation
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