DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

PANTHER CUB CLUB BEFORE AND AFTER SCHOOL PROGRAM

002764905

(660) 734-4450

715 ORCHARD ST
CENTRALIA
MO  65240

THE UNITED METHODIST CHURCH OF CENTRALIA, MISSOURI



 

HOLLOWAY, TIFFANY MICHELLE

tiffanye16@sbcglobal.net

Incorporated

CYNTHIA D MADDOX

5 YEARS - 14 YEARS

30

LICENSE EXEMPT PROGRAM

 
Inspection Information

05/07/2025

3:15 PM

3:59 PM

ANNOUNCED

ANNUAL

2492949449


DocumentDocument-Date
FIRE/SAFETY INSPECTION 04/08/2025
SANITATION INSPECTION 03/27/2025
NOTICE OF PARENTAL RESPONSIBILITY 08/22/2024




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: NA
Attendance at Time of Inspection
Total Staff 3
Total Children 21
StaffChildClass AgeNote
3 21 SCHOOL AGE Tiffany Holloway, D'Lorah Haas and Jerick Kalinowski were the staff with the children. Children ranged in age from 6 years to 12 years. NPR ratio is 1:15.

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Compliance
5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Compliance
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Compliance
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance