MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
KIDZ CLUBHOUSE DAYCARE & LEARNING CENTER, LLC

Facility DVN
002578536

Phone
(417) 726-5022

Physical Address
3830 E 20TH ST
JOPLIN
MO 64801-5854

Owner
KIDZ CLUBHOUSE DAYCARE & LEARNING CENTER, LLC

Mailing Address

Provider/Director
SMITH, CORA MAE

E-mail Address
kidzclubhouse@yahoo.com

Incorporated

Child Care Specialist
JENNIFER GOMEZ

Age Range
BIRTH - 12 YEARS

Capacity
76

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/26/2024

Arrival Time
10:43 PM

Departure Time
10:43 PM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2469286971

Document	Document-Date
APPLICATION	12/29/2020
LLC OPERATING AGREEMENT	12/29/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/29/2020
DIAGRAM/INDOOR	12/29/2020
DIAGRAM/OUTDOOR	12/29/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	12/29/2020
SAMPLE WEEKLY MENU	12/29/2020
CERTIFICATE OF GOOD STANDING	12/29/2020
FIRE/SAFETY INSPECTION	12/13/2021
SANITATION INSPECTION	09/27/2022
ANNUAL DECLARATION	12/12/2022
STAFF SHEET	12/12/2022
EQUIPMENT LIST	12/12/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.