MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CATERPILLAR CLUBHOUSE CHILD CENTER, LLC

Facility DVN
002479036

Phone
(573) 559-2101

Physical Address
803 S JACKSON ST
KENNETT
MO 63857-3476

Owner
CATERPILLAR CLUBHOUSE CHILD CENTER, LLC

Mailing Address
2808 ANNETTE ST
KENNETT
MO 63857-7501

Provider/Director
THOMPSON, KIMBERLY

E-mail Address
gayla@pemdunk.com

Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
BIRTH - 12 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/23/2024

Arrival Time
10:31 AM

Departure Time
11:37 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2462763242

Document	Document-Date
POLICIES	06/16/2014
LOCAL FIRE DEPARTMENT NOTIFICATION	06/19/2014
SAMPLE WEEKLY MENU	06/19/2014
JOB RESPONSIBILITIES	07/01/2014
LINES OF ADMINISTRATIVE AUTHORITY	07/01/2014
DISCIPLINE POLICIES	06/19/2014
DAILY SCHEDULE	07/01/2014
CHILD CARE PRACTICES	06/19/2014
DIAGRAM/OUTDOOR	07/01/2014
DIAGRAM/INDOOR	07/01/2014
REGISTERING FICTITIOUS NAMES	07/03/2014
LLC ARTICLES OF ORGANIZATION	07/03/2014
LLC OPERATING AGREEMENT	07/01/2014
LOCAL ZONING APPROVAL	08/29/2014
DIRECTOR'S QUALIFICATIONS	07/23/2014
SAFE SLEEP POLICY	01/11/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/05/2018
APPLICATION	07/13/2020
FIRE/SAFETY INSPECTION	05/30/2023
SANITATION INSPECTION	05/31/2023
EQUIPMENT LIST	08/08/2023
ANNUAL DECLARATION	08/08/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/08/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	8/26/2022

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 5

Total Children 15

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Caregiver Glenda Dale with children ages 4 months to 20 months.
2	11	MIXED	Caregivers Dorian Mejia and Pat Pender with 4 children 2 years of age and 7 children ages 3 years to 4 years.
2	0	NO CHILDREN IN ATTENDANCE	Additional staff present not counted in ratio are the Cook Jessica Chronister and Director Kimberly Thompson.


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 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