DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

PANTHER CUB CLUB BEFORE AND AFTER SCHOOL PROGRAM

002764905

(660) 734-4450

715 ORCHARD ST
CENTRALIA
MO  65240

THE UNITED METHODIST CHURCH OF CENTRALIA, MISSOURI



 

HOLLOWAY, TIFFANY MICHELLE

tiffanye16@sbcglobal.net

Incorporated

AMY MITCHELL

5 YEARS - 14 YEARS

30

LICENSE EXEMPT PROGRAM

 
Inspection Information

05/04/2026

3:03 PM

4:04 PM

ANNOUNCED

ANNUAL

2512627224


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 09/21/2025
FIRE/SAFETY INSPECTION 03/04/2026
SANITATION INSPECTION 03/03/2026




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 1
Attendance at Time of Inspection
Total Staff 5
Total Children 21
StaffChildClass AgeNote
5 21 SCHOOL AGE Tiffany Holloway (director), Jerick Kalinowski, Kellyn Enlow, D'Lorah Haas and Tara Vega were in attendance with 21 children ages 5-years-old though 10-years-old.

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that there was no immunization record on file or immunization exemption for 1 child.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Compliance
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Not Observed
RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Not Observed
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
Subsidy Requirements
Not Observed