MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT

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Facility Information

Facility Name

Facility DVN

Phone

Physical Address

Owner

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist

Age Range

Capacity

Facility Type

Limitations

Inspection Information

Date

Arrival Time

Departure Time

Notice

Inspection Type

Inspection ID

Document	Document-Date
APPLICATION	09/15/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/26/2022
LOCAL FIRE DEPARTMENT NOTIFICATION	05/25/2022
ARTICLES OF INCORPORATION	11/15/2022
DIAGRAM/INDOOR	09/26/2022
DIAGRAM/OUTDOOR	09/26/2022
SAMPLE FORMS	11/15/2022
EQUIPMENT LIST	12/08/2022
LINES OF ADMINISTRATIVE AUTHORITY	12/08/2022
JOB RESPONSIBILITIES	12/08/2022
SAMPLE WEEKLY MENU	09/16/2022
CHILD CARE PRACTICES	02/28/2023
DAILY SCHEDULE	02/28/2023
DISCIPLINE POLICIES	02/28/2023
POLICIES	02/28/2023
LICENSING ORIENTATION	11/15/2022
LOCAL ZONING APPROVAL	04/14/2023
DIRECTOR'S QUALIFICATIONS	04/14/2023
SANITATION INSPECTION	12/14/2023
FIRE/SAFETY INSPECTION	12/18/2023
CERTIFICATE OF GOOD STANDING	12/07/2023
LOCAL BUILDING APPROVAL	12/07/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/28/2023

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

Not Observed

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 Hazardous items as follows were accessible to children: a small metal universal key small enough to be swallowed by a child. The item(s) was/were located on a counter in the children's restroom. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required Hazardous items shall be inaccessible to children. Correction Verification Corrected on Site Compliance Date 6/11/2024

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

Not Observed

5 CSR 25-500.132 Admission Policies and Procedures

Compliance

5 CSR 25-500.142 Nighttime Care

Compliance

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

Not Observed

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