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
SAMPLE FORMS	05/12/2025
LICENSING ORIENTATION	02/06/2024
DISCIPLINE POLICIES	04/28/2025
DIAGRAM/OUTDOOR	04/16/2025
DIAGRAM/INDOOR	04/16/2025
POLICIES	05/05/2025
SAFE SLEEP POLICY	03/25/2025
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/25/2025
SAMPLE WEEKLY MENU	05/12/2025
LINES OF ADMINISTRATIVE AUTHORITY	05/12/2025
CHILD CARE PRACTICES	04/28/2025
JOB RESPONSIBILITIES	04/28/2025
DIRECTOR'S QUALIFICATIONS	03/27/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/16/2025
LLC ARTICLES OF ORGANIZATION	02/26/2024
APPLICATION	02/24/2025
SANITATION INSPECTION	03/16/2026
DAILY SCHEDULE	05/14/2025
EQUIPMENT LIST	05/21/2025
LOCAL BUILDING APPROVAL	05/20/2025
LOCAL ZONING APPROVAL	05/20/2025
FIRE/SAFETY INSPECTION	03/09/2026
LLC OPERATING AGREEMENT	05/28/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:50PM	5:50PM	10/6/2025

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.

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Caregiver Ashley Honeycutt present with four children, including one 9 month old infant and three toddlers ages 14 -20 month old.
1	4	INFANTS AND TODDLERS	Caregiver Evalyn Drew present with four infants ages 3-8 month old.
1	3	INFANTS AND TODDLERS	Caregiver Katie Langford present with three 15 month old toddlers.
1	10	MIXED	Caregiver Mary Sport present with ten children, including three 2 years old and seven -3-5 years old preschoolers.
1	10	MIXED	Caregiver Lois Potts present with ten children, including three 2 years old and seven preschoolers ages 3-5 years old.
2	0	NO CHILDREN IN ATTENDANCE	Director Anais Harris present and Gina Nichols present with no children in attendance.

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 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 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 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