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
EQUIPMENT LIST	07/24/2024
DIAGRAM/INDOOR	05/16/2023
DIAGRAM/OUTDOOR	06/27/2023
APPLICATION	12/06/2022
DISCIPLINE POLICIES	06/27/2023
CHILD CARE PRACTICES	06/27/2023
POLICIES	06/27/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/27/2023
CERTIFICATE OF GOOD STANDING	06/27/2023
DAILY SCHEDULE	06/27/2023
SAMPLE FORMS	05/16/2023
LOCAL ZONING APPROVAL	06/27/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/24/2024
LINES OF ADMINISTRATIVE AUTHORITY	06/27/2023
LICENSING ORIENTATION	12/03/2022
JOB RESPONSIBILITIES	06/27/2023
LOCAL FIRE DEPARTMENT NOTIFICATION	06/27/2023
DIRECTOR'S QUALIFICATIONS	06/27/2023
SAMPLE WEEKLY MENU	05/16/2023
ARTICLES OF INCORPORATION	05/16/2023
SANITATION INSPECTION	05/15/2024
FIRE/SAFETY INSPECTION	08/05/2024
ANNUAL DECLARATION	07/24/2024

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

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

Violation

	Provider Comments
Violation The facility's outdoor space was not safe for children's activities as evidenced by the weed barrier was exposed under the play equipment causing a tripping hazard. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification Submit Documentation Compliance Date

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

Compliance

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

Compliance

5 CSR 25-500.202 Nutrition and Food Service

Compliance

5 CSR 25-500.212 Transportation and Field Trips

Compliance

5 CSR 25-500.222 Records and Reports

Compliance

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