MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
KIDS VILLAGE WEST LLC

Facility DVN
002471034

Phone
(573) 860-2900

Physical Address
36 TAYLOR ST
SULLIVAN
MO 63080-1934

Owner
KIDS VILLAGE WEST LLC

Mailing Address

Provider/Director
LUCAS, NATALIE

E-mail Address
kidsvillagewest@att.net

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
BIRTH - 12 YEARS

Capacity
63

Facility Type
GROUP HOME AND CENTER

Limitations
24 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
02/02/2024

Arrival Time
11:45 AM

Departure Time
1:09 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2463502612

Document	Document-Date
SAMPLE FORMS	07/21/2014
CHILD CARE PRACTICES	05/19/2014
DISCIPLINE POLICIES	05/19/2014
POLICIES	07/21/2014
SAMPLE WEEKLY MENU	06/20/2014
DAILY SCHEDULE	07/21/2014
JOB RESPONSIBILITIES	08/06/2014
LINES OF ADMINISTRATIVE AUTHORITY	05/19/2014
LLC ARTICLES OF ORGANIZATION	08/06/2014
LLC OPERATING AGREEMENT	08/06/2014
STAFF SHEET	06/08/2018
SAFE SLEEP POLICY	06/28/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/31/2018
DIRECTOR'S QUALIFICATIONS	03/14/2019
DIAGRAM/OUTDOOR	10/13/2018
DIAGRAM/INDOOR	10/13/2018
APPLICATION	06/22/2020
LOCAL BUILDING APPROVAL	08/19/2021
LOCAL ZONING APPROVAL	08/19/2021
SANITATION INSPECTION	05/09/2023
FIRE/SAFETY INSPECTION	07/18/2023
EQUIPMENT LIST	07/24/2023
CERTIFICATE OF GOOD STANDING	08/19/2021
ANNUAL DECLARATION	07/24/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/24/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:45PM	4:45PM	11/12/2019

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 11

Total Children 41

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Sadie Blankenship and Max Koch with 8 children, one child 4 months old, two children 5 months old, two children 9 months old and three children age 1.
2	8	INFANTS AND TODDLERS	Ava Harris and Savannah Hyatt with 8 children, three children age 1 and five children age 2.
2	12	MIXED	Gracie Rodgers and Kayli Miller with 12 children, eight children age 2 and four children age 3.
3	0	NO CHILDREN IN ATTENDANCE	Carla Pelton (Member), Natalie Lucas (Director) and Tracy Arlotta (Lead Administrative Support) in the main office with 0 children.
2	13	PRESCHOOL	Angi Griffin and Rachael Holiday with 13 children ages 3 through 5 year's old.

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