MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
HANNIBAL CHILDREN'S CENTER

Facility DVN
001502574

Phone
(573) 406-5700

Physical Address
150 MEDICAL DR
HANNIBAL
MO 63401

Owner
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.

Mailing Address
PO BOX 551
HANNIBAL
MO 63401-0551

Provider/Director
VAN TRESS, MEREDITH ANN

E-mail Address
meredith.vantress@hannibalregional.org

Incorporated
Incorporated

Child Care Specialist
AMY MITCHELL

Age Range
6 WEEKS - 12 YEARS

Capacity
156

Facility Type
GROUP HOME AND CENTER

Limitations
32 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
08/12/2026

Arrival Time
10:05 AM

Departure Time
11:29 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2517935431

Document	Document-Date
SAFE SLEEP POLICY	09/15/2008
SAMPLE WEEKLY MENU	11/03/2010
DAILY SCHEDULE	06/05/2007
ARTICLES OF INCORPORATION	10/04/1990
CERTIFICATE OF GOOD STANDING	07/08/2002
LINES OF ADMINISTRATIVE AUTHORITY	08/15/2000
JOB RESPONSIBILITIES	08/17/2000
OWNER/PROVIDER REFERENCES	07/31/2000
DISCIPLINE POLICIES	07/20/2000
CHILD CARE PRACTICES	07/20/2000
POLICIES	07/31/2000
SAMPLE FORMS	01/03/2005
DIAGRAM/INDOOR	08/18/2011
DIAGRAM/OUTDOOR	05/23/2008
DIRECTOR'S QUALIFICATIONS	04/06/2001
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/21/2000
APPLICATION	05/11/2020
STAFF SHEET	06/18/2020
REGISTERING FICTITIOUS NAMES	04/04/2019
SANITATION INSPECTION	04/10/2026
EQUIPMENT LIST	05/21/2026
FIRE/SAFETY INSPECTION	04/22/2026
ANNUAL DECLARATION	05/21/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/21/2026

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 22

Total Children 93

Staff	Child	Class Age	Note
3	6	INFANTS AND TODDLERS	Staff: Emma Yoder, Robin Cassidy and Kenley Hathaway were in attendance with six children ages 7-months-old through 20-months-old.
2	6	INFANTS AND TODDLERS	Staff: Leah Godfrey and Abby Gerveler were in attendance with six children ages 22-months-old through 2-years-old.
1	7	MIXED	Staff: Cassandra Berthoud was in attendance with seven children ages 4-years-old through 6-years-old.
1	8	MIXED	Staff: Rachael Anderson was in attendance with eight children ages 2-years-old (two children were 2-years-old) through 3-years-old.
2	7	MIXED	Staff: Aston Kaden and Sue Beers were in attendance with seven children ages 2-years-old (one child was 2-years-old) through 3-years-old.
4	0	NO CHILDREN IN ATTENDANCE	Staff: Meredith Van Tress (director), Rachael Brown (secretary), Travis Bowler (kitchen staff) and Michelle Hightower (coordinator) were present during the inspection but they did not count in ratio.
2	12	PRESCHOOL	Staff: Jamie Gard and Isabelle Tiemann were in attendance with 12 children ages 4-years-old through 5-years-old.
4	14	PRESCHOOL	Staff: Dayanara Gonzalez, Aaron Vincent, Lee Heindricks and Sky Niemeyer were in attendance with 14 children ages 3-years-old through 4-years-old.
1	8	SCHOOL AGE	Staff: Traci Standifer was in attendance with eight children ages 9-years-old through 11-years-old.
2	25	SCHOOL AGE	Staff: Laurie Tischer and Shayleigh Whetstone were in attendance with 25 children ages 5-years-old through 8-years-old.

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 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 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 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 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