DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CIRCUS-CIRCUS DAY CARE CENTER, INC.

000276222

(417) 257-7603

1016 ST. LOUIS ST
WEST PLAINS
MO  65775

CIRCUS-CIRCUS DAY CARE CENTER, INC.



 

KIRKLAND, LISA MARIE

circusdaycare@gmail.com

Incorporated

ELAINE S COX

BIRTH - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/16/2023

10:32 AM

11:58 AM

UNANNOUNCED

COMPLIANCE MONITORING

2458588674


DocumentDocument-Date
POLICIES 04/27/1993
SAMPLE WEEKLY MENU 04/27/1993
DISCIPLINE POLICIES 04/27/1993
DIAGRAM/OUTDOOR 04/27/1993
DIAGRAM/INDOOR 04/27/1993
CHILD CARE PRACTICES 04/27/1993
ARTICLES OF INCORPORATION 04/27/1993
OWNER/PROVIDER REFERENCES 02/01/1993
DAILY SCHEDULE 03/17/2015
LINES OF ADMINISTRATIVE AUTHORITY 11/02/2005
JOB RESPONSIBILITIES 10/19/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 09/15/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/20/2018
SAFE SLEEP POLICY 07/12/2016
DIRECTOR'S QUALIFICATIONS 06/08/2018
LOCAL ZONING APPROVAL 09/23/1987
EQUIPMENT LIST 10/02/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/02/2023
ANNUAL DECLARATION 10/02/2023
SANITATION INSPECTION 08/30/2023
CERTIFICATE OF GOOD STANDING 11/16/2023
FIRE/SAFETY INSPECTION 11/13/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   8/19/2016



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 3
Total Children 15
StaffChildClass AgeNote
2 7 MIXED Audrey Culver and Lisa Kirkland with 7 children ages 18 months to 3-years-old. This included 3 children under 2 years old and 1- 2-year old child.
1 8 MIXED Kaitlin Lee with 8 children ages 2-year old to 4-years-old. This included 2- 2-year old children.

 
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
Violation
 Provider Comments
Violation
The observed surface area under horizontal ladder, from which a child might fall consists of bare soil.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date

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
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by the medical did not state the staff could work with children, was free from contagious disease, was in good physical and emotional health and did not address any limitation or restrictions.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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