MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LUCKY LANE NURSERY SCHOOL ASSOCIATION-BENEVOLENT

Facility DVN
000522607

Phone
(314) 434-4462

Physical Address
12546 CONWAY RD
ST LOUIS
MO 63141

Owner
LUCKY LANE EARLY CHILDHOOD ASSOCIATION

Mailing Address

Provider/Director
SIRLES, VICTORIA HOPE

E-mail Address
director@luckylane.org

Incorporated
Incorporated

Child Care Specialist
RUTH, JACQUELINE J

Age Range
24 MONTHS - 5 YEARS

Capacity
80

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
06/17/2025

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2495395767

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	01/10/2006
SAMPLE FORMS	09/02/1993
POLICIES	09/02/1993
LOCAL ZONING APPROVAL	09/02/1993
LOCAL FIRE DEPARTMENT NOTIFICATION	03/01/2011
LOCAL BUILDING APPROVAL	09/02/1993
LINES OF ADMINISTRATIVE AUTHORITY	09/02/1993
JOB RESPONSIBILITIES	09/02/1993
DISCIPLINE POLICIES	09/02/1993
DIAGRAM/OUTDOOR	09/02/1993
DIAGRAM/INDOOR	09/02/1993
CHILD CARE PRACTICES	09/02/1993
ARTICLES OF INCORPORATION	09/02/1993
SAMPLE WEEKLY MENU	04/02/2015
DAILY SCHEDULE	04/02/2015
APPLICATION	04/02/2019
STAFF SHEET	04/26/2021
REGISTERING FICTITIOUS NAMES	05/17/2023
CERTIFICATE OF GOOD STANDING	05/17/2023
EQUIPMENT LIST	03/25/2025
FIRE/SAFETY INSPECTION	03/05/2025
SANITATION INSPECTION	01/31/2025
ANNUAL DECLARATION	03/25/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/25/2025

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.

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 Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
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