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
LOCAL ZONING APPROVAL	07/25/2013
DIAGRAM/OUTDOOR	10/29/2001
DIAGRAM/INDOOR	10/29/2001
DIRECTOR'S QUALIFICATIONS	10/29/2001
DISCIPLINE POLICIES	10/22/2001
POLICIES	10/22/2001
CHILD CARE PRACTICES	10/22/2001
SAMPLE WEEKLY MENU	10/22/2001
DAILY SCHEDULE	10/23/2001
JOB RESPONSIBILITIES	10/22/2001
LINES OF ADMINISTRATIVE AUTHORITY	10/29/2001
ARTICLES OF INCORPORATION	10/22/2001
OWNER/PROVIDER REFERENCES	03/20/2001
REGISTERING FICTITIOUS NAMES	07/25/2013
CERTIFICATE OF GOOD STANDING	08/19/2019
STAFF SHEET	08/19/2019
APPLICATION	05/16/2019
SANITATION INSPECTION	09/06/2024
FIRE/SAFETY INSPECTION	07/31/2024
EQUIPMENT LIST	10/16/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/16/2024
ANNUAL DECLARATION	05/28/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	5/6/2024

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

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

Violation

	Provider Comments
Violation Outdoor equipment, shade structure, in the Infant/Toddler playground was not in good condition as evidenced by the weight of the snow and ice damaged the blue shade cover. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required Outdoor play equipment shall be safe and in good repair. Correction Verification Submit Documentation Compliance Date

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

Not Observed

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