DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
APPLICATION 07/14/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/09/2024
DIAGRAM/INDOOR 07/14/2022
DIAGRAM/OUTDOOR 07/14/2022
DIRECTOR'S QUALIFICATIONS 08/23/2022
REGISTERING FICTITIOUS NAMES 06/24/2022
SAMPLE WEEKLY MENU 06/30/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 07/13/2022
ANNUAL DECLARATION 10/09/2024
SANITATION INSPECTION 10/09/2023
STAFF SHEET 11/01/2023
EQUIPMENT LIST 10/31/2024
FIRE/SAFETY INSPECTION 08/22/2024
LICENSING ORIENTATION 06/23/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/31/2022
CERTIFICATE OF GOOD STANDING 10/19/2022
LLC ARTICLES OF ORGANIZATION 10/19/2022
DISCIPLINE POLICIES 10/26/2022
POLICIES 10/26/2022
DAILY SCHEDULE 08/25/2022
JOB RESPONSIBILITIES 07/14/2022
LINES OF ADMINISTRATIVE AUTHORITY 10/14/2022
LOCAL BUILDING APPROVAL 08/29/2022




Compliance Licensing Rules
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
Violation
 Provider Comments
Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were older than five (5) years for Kelly Crutchfield, Tammy Gergen, and Pamela Jacquemin.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
12/5/2024
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