MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MOMO'S SUNSHINE AND GRACE

Facility DVN
002681487

Phone
(660) 327-5437

Physical Address
23815 HIGHWAY 24
PARIS
MO 65275-2276

Owner
MOMO'S SUNSHINE AND GRACE, L.L.C.

Mailing Address

Provider/Director
LARSEN, MARY ELIZABETH

E-mail Address
mary972@aol.com

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
BIRTH - 12 YEARS

Capacity
49

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
02/08/2024

Arrival Time
12:45 PM

Departure Time
2:57 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2464146828

Document	Document-Date
APPLICATION	10/24/2019
STAFF SHEET	12/12/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/12/2019
CHILD CARE PRACTICES	01/25/2017
DISCIPLINE POLICIES	01/25/2017
LINES OF ADMINISTRATIVE AUTHORITY	01/25/2017
DIAGRAM/INDOOR	10/23/2017
DIAGRAM/OUTDOOR	10/23/2017
POLICIES	10/25/2017
SAFE SLEEP POLICY	10/25/2017
LLC OPERATING AGREEMENT	08/17/2017
LLC ARTICLES OF ORGANIZATION	08/19/2017
REGISTERING FICTITIOUS NAMES	08/19/2017
SANITATION INSPECTION	01/19/2024
ARTICLES OF INCORPORATION	01/19/2022
CERTIFICATE OF GOOD STANDING	10/06/2022
DAILY SCHEDULE	01/03/2020
DIRECTOR'S QUALIFICATIONS	10/19/2017
EQUIPMENT LIST	01/26/2024
FIRE/SAFETY INSPECTION	10/05/2023
ANNUAL DECLARATION	01/26/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/26/2024
SAMPLE WEEKLY MENU	02/20/2022
JOB RESPONSIBILITIES	02/20/2022
LOCAL ZONING APPROVAL	03/18/2022
SAMPLE FORMS	02/01/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 11

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 4

Total Children 23

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Charline Knight staff was present with 4 children ages 5 months to 22 months
2	11	MIXED	Jessica Fountain , person in charge, Katrina Gooding staff and Whitney Long staff were present with 11 children ages 3 to 5
1	8	TWO YEAR OLDS	Halle Rosson staff was present with 8 children all age 2

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 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 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 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 Violation
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 Violation
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