DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PAPER MOON EARLY LEARNING CENTER LLC

002838326

(573) 447-0131

4470 N HIGHWAY 763
COLUMBIA
MO  65202-1043

PAPER MOON EARLY LEARNING CENTER LLC



 

NICHOLS, JACQUELINE BEATRICE

director@papermoonelc.com


LU A GAINES

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/08/2024

3:38 PM

5:41 PM

UNANNOUNCED

CLOSE SUPERVISION

2465814696


DocumentDocument-Date
APPLICATION 06/23/2020
DIAGRAM/INDOOR 07/21/2020
DIAGRAM/OUTDOOR 07/21/2020
STAFF SHEET 07/21/2020
DIRECTOR'S QUALIFICATIONS 07/29/2020
LINES OF ADMINISTRATIVE AUTHORITY 07/21/2020
DISCIPLINE POLICIES 07/21/2020
SAMPLE WEEKLY MENU 07/21/2020
DAILY SCHEDULE 07/21/2020
JOB RESPONSIBILITIES 07/21/2020
CHILD CARE PRACTICES 07/21/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/21/2020
POLICIES 07/21/2020
SAMPLE FORMS 07/21/2020
LLC ARTICLES OF ORGANIZATION 07/21/2020
LLC OPERATING AGREEMENT 07/21/2020
LOCAL ZONING APPROVAL 08/07/2020
LOCAL BUILDING APPROVAL 08/07/2020
EQUIPMENT LIST 07/12/2023
ANNUAL DECLARATION 07/11/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/12/2023
SANITATION INSPECTION 04/21/2023
FIRE/SAFETY INSPECTION 07/12/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/5/2020



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 19
Total Children 58
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Staff Paige Reed and Gracie Perkins present in the Sunnies room with children ages 21 - 23 months old.
4 12 INFANTS AND TODDLERS Staff Kayln Thomas, Erica Newell, Megan Bishop and Adria Browder present in the Sparkles room with children ages 2 months - 20 months old.
1 7 MIXED Staff Maddie Walkers present with the Saturn class consisting of children ages 2 - 3 years old, on the playground, with one child who was 2 years old in the group.
2 16 MIXED Staff Kacy Bergfeld and Carlie Roe present with the Neptunes and Mercuries classes combined, consisting of children ages 3 - 5 years old, on the playground.
7 0 NO CHILDREN IN ATTENDANCE Person in charge- Amanda Brill, cook Jeanpoul Valazques, Joanmarie Ramirez, Faith Reusch, Kadence Dryer, Maddison Spiess and Molly Fink present on site.
1 6 PRESCHOOL Staff Mari Levi present with the Comets class consisting of all 3 year old children, on the playground.
2 11 TWO YEAR OLDS Staff Mollyallen Thomas and Sydney Joy present in the Stars room with all 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
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that the white electrical outlet plate on the wall under the white board in the Sunnies room had a piece broken out of the right side.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
The facility was observed using an extension cord in the Neptunes room, a grey electrical cord was lying on the floor, across the front of the door, running behind a brown shelf with TV next to the left wall, and behind a blue wire drying rack on the right wall. The cord was plugged in and lying loose.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (14) (C) states: Electrical extension cords shall not be used unless approved in writing by the fire inspector.
Correction Required
Extension cords shall not be used.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
An infant was observed sleeping in a/an grey bouncy seat in the Sparkles room, the child is 9 weeks old..
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
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
Not Observed
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