DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

PAPER MOON NURSERY LLC

002692706

(573) 441-0008

421 SANFORD AVE
COLUMBIA
MO  65203-3360

PAPER MOON NURSERY LLC



 

HAMMOND, EMILY LOU

director@papermoonelc.com


LU A GAINES

BIRTH - 2 YEARS

8

FAMILY HOME

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, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 8 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

12/05/2024

12:25 PM

1:20 PM

UNANNOUNCED

COMPLIANCE MONITORING

2483596068


DocumentDocument-Date
APPLICATION 06/03/2024
FIRE/SAFETY INSPECTION 06/05/2024
SANITATION INSPECTION 06/20/2024
DAILY SCHEDULE 06/20/2024
SAMPLE WEEKLY MENU 06/18/2024
SAMPLE FORMS 06/07/2024
CHILD CARE/DISCIPLINE POLICIES 06/18/2024
LLC OPERATING AGREEMENT 06/20/2024
POLICIES 06/18/2024
CERTIFICATE OF GOOD STANDING 06/18/2024
DIAGRAM/INDOOR 06/21/2024
DIAGRAM/OUTDOOR 06/21/2024
LICENSING ORIENTATION 11/08/2017
LLC ARTICLES OF ORGANIZATION 06/18/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/02/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/02/2024
SAFE SLEEP POLICY 07/02/2024
EQUIPMENT LIST 07/02/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
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 2
Total Children 7
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Provider Emily Hammond and caregiver Arled Rivera with seven children, 12 weeks-23 months-pld.

Compliance List
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Compliance
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
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
Compliance
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
Compliance
5 CSR 25-400.190 Nutrition and Food Service
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
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.
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