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
DIAGRAM/OUTDOOR	12/05/2016
OWNER/PROVIDER REFERENCES	01/04/2017
DAILY SCHEDULE	12/05/2016
SAMPLE WEEKLY MENU	12/05/2016
LOCAL BUILDING APPROVAL	12/05/2016
JOB RESPONSIBILITIES	12/05/2016
LINES OF ADMINISTRATIVE AUTHORITY	12/05/2016
DIRECTOR'S QUALIFICATIONS	12/05/2016
LLC ARTICLES OF ORGANIZATION	12/05/2016
LOCAL FIRE DEPARTMENT NOTIFICATION	03/02/2017
ARTICLES OF INCORPORATION	12/05/2016
LOCAL ZONING APPROVAL	03/02/2017
DISCIPLINE POLICIES	12/05/2016
DIAGRAM/INDOOR	11/15/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/09/2019
SAFE SLEEP POLICY	01/09/2019
LLC OPERATING AGREEMENT	03/02/2022
CHILD CARE PRACTICES	04/22/2022
POLICIES	04/22/2022
FIRE/SAFETY INSPECTION	12/02/2024
SANITATION INSPECTION	12/16/2024
CERTIFICATE OF GOOD STANDING	12/26/2024
ANNUAL DECLARATION	01/15/2025
EQUIPMENT LIST	01/15/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/15/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:20PM	5:20PM	3/3/2017

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

Compliance

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

Violation

	Provider Comments
Violation Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification Corrected on Site Compliance Date 9/18/2025

5 CSR 25-500.102 Personnel

Compliance

5 CSR 25-500.112 Staff/Child Ratios

Compliance

5 CSR 25-500.122 Medical Examination Reports

Not Observed

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

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