MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
KIRKSVILLE R-III SCHOOL DISTRICT

Facility DVN
002011727

Phone
(660) 626-1459

Physical Address
1405 S COTTAGE GROVE
KIRKSVILLE
MO 63501

Owner
KIRKSVILLE R-III SCHOOL DISTRICT

Mailing Address

Provider/Director
KLOCKE, MELISSA ROSE

E-mail Address
mklocke@kirksville.k12.mo.us

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
6 WEEKS - 6 YEARS

Capacity
175

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/10/2024

Arrival Time
8:20 AM

Departure Time
10:07 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2483928452

Document	Document-Date
SAMPLE WEEKLY MENU	02/27/2008
LINES OF ADMINISTRATIVE AUTHORITY	02/27/2008
DIRECTOR'S JOB RESPONSIBILITIES	02/27/2008
JOB RESPONSIBILITIES	02/27/2008
DAILY SCHEDULE	03/17/2010
CHILD CARE PRACTICES	04/11/2016
DISCIPLINE POLICIES	04/11/2016
POLICIES	04/11/2016
DIAGRAM/INDOOR	03/10/2008
DIAGRAM/OUTDOOR	03/10/2008
SAMPLE FORMS	03/04/2008
SAFE SLEEP POLICY	03/01/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/06/2019
APPLICATION	03/10/2020
DIRECTOR'S QUALIFICATIONS	04/28/2008
STAFF SHEET	07/29/2020
SANITATION INSPECTION	03/28/2024
FIRE/SAFETY INSPECTION	01/30/2024
EQUIPMENT LIST	04/29/2024
ANNUAL DECLARATION	04/29/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/29/2024

Inspection determined facility to be in compliance with 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 35

Total Children 101

Staff	Child	Class Age	Note
10	9	MIXED	Room 109- 3-5 years Three five year old children Crystal Wilcox, Alexis Leubering, Sarah Ward, Janice Demit, Natousha Mots, Vanessa Gomez, Michelle Mottley, Kristin Wallace, Taylor Kissie and Whitney Burns, staff
4	14	MIXED	Room 116- 4-5 year old children. Four five year old children Jill Scheurer, Zoey Miller, Robert Bray and Tessa Attebury, staff
3	14	MIXED	Room 118 3-5 years Five- 5 year old children Jimi Motter, Kara Schwend and Zan Tyler, staff
3	12	MIXED	Room 119 3-5 year old children Four- 5 year old children Pam Kilmer, Jennifer Potter and Brittany Athon, staff
2	9	MIXED	Room 127 3-5 year old children Two- 5 year old children Sandy Adams and Katy Grossinger, staff
2	9	MIXED	Room 128 3-5 years Four- 5 year old children Michelle Stonecipher and Shelia Smith, staff
2	12	PRESCHOOL	Room 131 3-4 year old children Mikki Wouters and Alaena Aldridge, staff
2	1	PRESCHOOL	OT Therapy Room 132- Child age 4 years Sandra Shively and Stacie Hudson, staff
4	11	PRESCHOOL	Room 106- Chrissy Hendren, Rachel Haley, Sarah Traunericht, and Gracie Patterson, staff
3	10	PRESCHOOL	Room 105- Angelica Roland, Rashanea Rusk and Angel Grogan, staff

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 Not Observed
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 Not Observed
5 CSR 25-500.202 Nutrition and Food Service Compliance
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