MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
PAPER MOON NURSERY LLC

Facility DVN
002692706

Phone
(573) 289-2151

Physical Address
551 SOUTHAMPTON DR
COLUMBIA
MO 65203-3057

Owner
PAPER MOON NURSERY LLC

Mailing Address

Provider/Director
RAMSHEAD, ANGELA IRENE

E-mail Address
director@papermoonelc.com

Incorporated

Child Care Specialist
LU A GAINES

Age Range
BIRTH - 2 YEARS

Capacity
8

Facility Type
FAMILY HOME

Limitations
UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE NO MORE THAN 2 UNDER 2 W/ 1 CAREGIVER

Inspection Information

Date
03/27/2024

Arrival Time
3:32 PM

Departure Time
3:53 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2467179835

Document	Document-Date
ASSISTANT APPROVAL REQUEST	03/06/2018
ARTICLES OF INCORPORATION	01/19/2018
CHILD CARE/DISCIPLINE POLICIES	03/06/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/06/2018
DIAGRAM/INDOOR	03/06/2018
POLICIES	02/08/2018
DAILY SCHEDULE	02/08/2018
LLC OPERATING AGREEMENT	03/06/2018
SAFE SLEEP POLICY	02/08/2018
SAMPLE FORMS	02/08/2018
OWNER/PROVIDER REFERENCES	03/06/2018
SAMPLE WEEKLY MENU	02/08/2018
LLC ARTICLES OF ORGANIZATION	01/19/2018
APPLICATION	11/20/2019
SANITATION INSPECTION	01/26/2024
EQUIPMENT LIST	03/04/2024
FIRE/SAFETY INSPECTION	01/24/2024
ANNUAL DECLARATION	03/04/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/04/2024
DIAGRAM/OUTDOOR	03/16/2018
LICENSING ORIENTATION	03/06/2018

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 1

Total Children 2

Staff	Child	Class Age	Note
1	2	INFANTS AND TODDLERS	Caregiver Gracee Gooding present on site with two children ages 8 months - 18 months old.

Compliance List
5 CSR 25-400.025 Organization and Administration Violation
5 CSR 25-400.045 Licensing Process Not Observed
5 CSR 25-400.055 Annual Requirements Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Violation
5 CSR 25-400.086 Fire Safety Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Violation
5 CSR 25-400.115 Child Care Family and Household Compliance
5 CSR 25-400.125 Medical Examination Reports Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Not Observed
5 CSR 25-400.145 Nighttime Care Not Observed
5 CSR 25-400.155 Overlap Care of Children Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Not Observed
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Not Observed
5 CSR 25-400.210 Records and Reports Not Observed
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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance