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	06/08/2023
CHILD CARE PRACTICES	07/05/2023
DAILY SCHEDULE	07/05/2023
DIAGRAM/INDOOR	06/01/2023
DIAGRAM/OUTDOOR	06/01/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/05/2023
DISCIPLINE POLICIES	07/05/2023
EQUIPMENT LIST	06/01/2023
JOB RESPONSIBILITIES	07/05/2023
LICENSING ORIENTATION	04/20/2023
LINES OF ADMINISTRATIVE AUTHORITY	07/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/05/2023
LLC ARTICLES OF ORGANIZATION	07/05/2023
LLC OPERATING AGREEMENT	06/01/2023
LOCAL FIRE DEPARTMENT NOTIFICATION	07/05/2023
POLICIES	07/05/2023
SAFE SLEEP POLICY	07/05/2023
SAMPLE FORMS	06/01/2023
SAMPLE WEEKLY MENU	06/01/2023
SANITATION INSPECTION	09/29/2023
LOCAL ZONING APPROVAL	10/12/2023
LOCAL BUILDING APPROVAL	10/12/2023
FIRE/SAFETY INSPECTION	09/18/2023
DIRECTOR'S QUALIFICATIONS	11/02/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	6:00PM	3/14/2024

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

Compliance

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

Violation

	Provider Comments
Violation Medication was not stored in a locked container. Licensing Rule Reference 5 CSR 25-500.192 Health Care (3) (E) states: All medication shall be stored out of reach of children or in a locked container. Correction Required Medication shall be inaccessible to children and handled as required. Correction Verification Corrected on Site Compliance Date 6/12/2024
Violation Medication needing refrigeration was not kept in a container separate from food. Licensing Rule Reference 5 CSR 25-500.192 Health Care (3) (G) states: Medication needing refrigeration shall be kept in the refrigerator in a container separate from food. Correction Required Medication shall be inaccessible to children and handled as required. Correction Verification Corrected on Site Compliance Date 6/12/2024

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

Compliance

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