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/INDOOR	10/26/2015
DIAGRAM/OUTDOOR	10/26/2015
DAILY SCHEDULE	10/26/2015
DISCIPLINE POLICIES	10/26/2015
CHILD CARE PRACTICES	10/26/2015
SAMPLE WEEKLY MENU	10/26/2015
POLICIES	10/26/2015
LOCAL BUILDING APPROVAL	10/26/2015
LINES OF ADMINISTRATIVE AUTHORITY	10/26/2015
JOB RESPONSIBILITIES	10/26/2015
LLC OPERATING AGREEMENT	09/21/2015
LOCAL ZONING APPROVAL	10/26/2015
DIRECTOR'S QUALIFICATIONS	10/01/2015
SAMPLE FORMS	10/26/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	12/11/2015
LLC ARTICLES OF ORGANIZATION	09/21/2015
APPLICATION	08/26/2019
STAFF SHEET	12/29/2023
SANITATION INSPECTION	09/16/2024
EQUIPMENT LIST	01/13/2025
FIRE/SAFETY INSPECTION	11/19/2024
ANNUAL DECLARATION	01/13/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/13/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	4/26/2016

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

Not Observed

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

Violation

	Provider Comments
Violation The walls located in the lower level was/were not in good condition as evidenced by a detached baseboard. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification Submit Documentation Compliance Date 7/10/2025

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

Compliance

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

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