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	06/30/2015
CHILD CARE PRACTICES	07/09/2015
DISCIPLINE POLICIES	07/09/2015
JOB RESPONSIBILITIES	07/09/2015
LINES OF ADMINISTRATIVE AUTHORITY	07/09/2015
DAILY SCHEDULE	07/09/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	07/09/2015
DIAGRAM/OUTDOOR	07/09/2015
SAMPLE WEEKLY MENU	07/09/2015
LOCAL BUILDING APPROVAL	07/09/2015
LOCAL ZONING APPROVAL	07/09/2015
REGISTERING FICTITIOUS NAMES	03/16/2015
ARTICLES OF INCORPORATION	07/14/2015
DIRECTOR'S QUALIFICATIONS	06/29/2015
POLICIES	07/09/2015
SAMPLE FORMS	07/09/2015
OWNER/PROVIDER REFERENCES	07/16/2015
APPLICATION	02/25/2019
LLC ARTICLES OF ORGANIZATION	03/04/2019
CERTIFICATE OF GOOD STANDING	06/09/2022
EQUIPMENT LIST	05/15/2026
FIRE/SAFETY INSPECTION	03/11/2026
SANITATION INSPECTION	03/18/2026
ANNUAL DECLARATION	05/15/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/15/2026

Overlap Start Time	Overlap End Time	Overlap Submit Date
12:00PM	1:00PM	7/16/2015

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

Violation

	Provider Comments
Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification Submit Documentation Compliance Date 6/29/2026

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

Compliance

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

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