DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 01/13/2020
APPLICATION 10/09/2019
SAMPLE WEEKLY MENU 10/09/2019
POLICIES 10/09/2019
DISCIPLINE POLICIES 10/09/2019
DIAGRAM/INDOOR 12/18/2018
DIAGRAM/OUTDOOR 12/18/2018
CHILD CARE PRACTICES 10/09/2019
JOB RESPONSIBILITIES 10/09/2019
LINES OF ADMINISTRATIVE AUTHORITY 10/09/2019
SAMPLE FORMS 10/09/2019
LLC OPERATING AGREEMENT 10/09/2019
LLC ARTICLES OF ORGANIZATION 10/09/2019
SAFE SLEEP POLICY 01/16/2020
DAILY SCHEDULE 01/16/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 01/16/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/16/2020
REGISTERING FICTITIOUS NAMES 01/16/2020
LOCAL BUILDING APPROVAL 01/22/2020
SANITATION INSPECTION 11/27/2023
EQUIPMENT LIST 01/08/2024
LOCAL ZONING APPROVAL 02/16/2024
FIRE/SAFETY INSPECTION 11/15/2023
ANNUAL DECLARATION 01/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/08/2024




Compliance Licensing Rules
Open Violations:
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 3 children's files did not name the specific day care provider authorized to contact medical assistance.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
2/16/2024
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
2/16/2024
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
2/16/2024
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