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
JOB RESPONSIBILITIES	07/03/2013
CHILD CARE PRACTICES	07/10/2013
LINES OF ADMINISTRATIVE AUTHORITY	06/20/2013
DISCIPLINE POLICIES	07/10/2013
LOCAL ZONING APPROVAL	07/10/2013
SAMPLE WEEKLY MENU	07/10/2013
DIAGRAM/INDOOR	07/10/2013
DIAGRAM/OUTDOOR	07/10/2013
POLICIES	07/15/2013
OWNER/PROVIDER REFERENCES	07/10/2013
SAMPLE FORMS	07/10/2013
DAILY SCHEDULE	07/26/2013
REGISTERING FICTITIOUS NAMES	05/21/2013
LOCAL BUILDING APPROVAL	07/10/2013
LOCAL FIRE DEPARTMENT NOTIFICATION	07/10/2013
DIRECTOR'S QUALIFICATIONS	10/29/2014
APPLICATION	06/14/2019
STAFF SHEET	06/14/2019
FIRE/SAFETY INSPECTION	05/28/2024
EQUIPMENT LIST	08/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/09/2024
ANNUAL DECLARATION	08/08/2024
SANITATION INSPECTION	07/01/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	9/13/2019

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

Not Observed

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

Not Observed

5 CSR 25-500.087 Fire Safety

Not Observed

5 CSR 25-500.090 Disaster and Emergency Preparedness

Not Observed

5 CSR 25-500.092 Furniture, Equipment and Materials

Not Observed

5 CSR 25-500.102 Personnel

Not Observed

5 CSR 25-500.112 Staff/Child Ratios

Not Observed

5 CSR 25-500.122 Medical Examination Reports

Not Observed

5 CSR 25-500.132 Admission Policies and Procedures

Not Observed

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

Not Observed

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

Violation

	Provider Comments
Violation Daily attendance records were not maintained on file as evidenced by there was no staff/volunteer attendance record for the following staff: Krissie Edwards. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Staff/volunteer attendance records shall be maintained and retained as required. Correction Verification Submit Documentation Compliance Date

5 CSR 25-600.020 General Requirements

Not Observed

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. —

Not Observed

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Not Observed