MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
PAPER MOON EARLY LEARNING CENTER LLC

Facility DVN
002838326

Phone
(573) 447-0131

Physical Address
4470 N HIGHWAY 763
COLUMBIA
MO 65202-1043

Owner
PAPER MOON EARLY LEARNING CENTER LLC

Mailing Address

Provider/Director
NICHOLS, JACQUELINE BEATRICE

E-mail Address
director@papermoonelc.com

Incorporated

Child Care Specialist
LU A GAINES

Age Range
BIRTH - 12 YEARS

Capacity
99

Facility Type
GROUP HOME AND CENTER

Limitations
24 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
09/24/2025

Arrival Time
3:02 PM

Departure Time
4:22 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2500902517

Document	Document-Date
APPLICATION	06/23/2020
DIAGRAM/INDOOR	07/21/2020
DIAGRAM/OUTDOOR	07/21/2020
DIRECTOR'S QUALIFICATIONS	07/29/2020
LINES OF ADMINISTRATIVE AUTHORITY	07/21/2020
DISCIPLINE POLICIES	07/21/2020
SAMPLE WEEKLY MENU	07/21/2020
DAILY SCHEDULE	07/21/2020
JOB RESPONSIBILITIES	07/21/2020
CHILD CARE PRACTICES	07/21/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/21/2020
POLICIES	07/21/2020
SAMPLE FORMS	07/21/2020
LLC ARTICLES OF ORGANIZATION	07/21/2020
LLC OPERATING AGREEMENT	07/21/2020
LOCAL ZONING APPROVAL	08/07/2020
LOCAL BUILDING APPROVAL	08/07/2020
STAFF SHEET	07/21/2020
EQUIPMENT LIST	07/15/2025
ANNUAL DECLARATION	07/15/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/15/2025
SANITATION INSPECTION	06/24/2025
FIRE/SAFETY INSPECTION	06/23/2025
SAFE SLEEP POLICY	06/24/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	8/5/2020

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.

Attendance at Time of Inspection

Total Staff 13

Total Children 53

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Caregivers Kaitlyn Peroutka and Sarana Olsen in the Sunnies room with seven children, 16 months-22 months old.
2	7	INFANTS AND TODDLERS	Caregivers Kayln Thomas and Irene Manirakiza in the Sparkles room with seven children, 11 months-20 months old.
2	6	INFANTS AND TODDLERS	Caregivers Kristen Thompson and Madison Vogel in the Twinkles room with six children, 2 months-15 months old.
1	10	MIXED	Caregiver Angela Ramshead in the Neptunes room with eight children, 4-years-old, and two children, 5-6-years-old.
1	7	MIXED	Caregiver Chloe Kauffman in the Saturns room with four children, 2-years-old, and three children, 3-years-old.
1	0	NO CHILDREN IN ATTENDANCE	Additional staff on premises- administrative assistant Amanda Brill.
2	5	PRESCHOOL	Caregivers Grace Richardson and Juliana Morton in the Mercuries room with five children, 3-years-old.
2	11	TWO YEAR OLDS	Caregivers Gracie Perkins and Ellie Dunseith in the Stars room with eleven children, 2-years-old.

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
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 Violation
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 Not Observed
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 Violation
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