MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
MILLER, LISA J

Facility DVN
001759413

Phone
(636) 597-3060

Physical Address
25283 PINE OAK RD
TRUXTON
MO 63381

Owner
MILLER, LISA J

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
WENDI MATLICK

Age Range
BIRTH - 14 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
6 CHILDREN IN CARE NO MORE THAN 3 UNDER 2 WITH 1 ADULT CAREGIVER; 7-10 IN CARE NO MORE THAN 2 UNDER 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
05/16/2014

Arrival Time
11:15 AM

Departure Time
11:51 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2226543730

Document	Document-Date
APPLICATION	09/18/2013
SANITATION INSPECTION	10/22/2013
EQUIPMENT LIST	09/18/2013
DIAGRAM/INDOOR	01/09/2006
DIAGRAM/OUTDOOR	01/06/2006
CHILD CARE/DISCIPLINE POLICIES	01/09/2001
DAILY SCHEDULE	01/09/2001
SAMPLE WEEKLY MENU	01/09/2001
ASSISTANT APPROVAL REQUEST	09/17/2009
FIRE/SAFETY INSPECTION	11/26/2012

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 1

Total Children 9

Staff	Child	Class Age	Note
1	9	MIXED	5 unrelated children in care and 4 related


19 CSR 30-61.025 Organization and Administration Compliance
19 CSR 30-61.045 Initial Licensing Information Compliance
19 CSR 30-61.055 License Renewal Compliance
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home Compliance
19 CSR 30-61.086 Fire Safety Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-61.095 Furniture, Equipment and Materials Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel Compliance
19 CSR 30-61.115 Day Care Family and Household Compliance
19 CSR 30-61.125 Medical Examination Reports Compliance
19 CSR 30-61.135 Admission Policies and Procedures Compliance
19 CSR 30-61.145 Nighttime Care Compliance
19 CSR 30-61.155 Overlap Care of Children Not Observed
19 CSR 30-61.165 Emergency School Closings Not Observed
19 CSR 30-61.175 Child Care Program Compliance
19 CSR 30-61.185 Health Care Compliance
19 CSR 30-61.190 Nutrition and Food Service Compliance
19 CSR 30-61.200 Transportation and Field Trips Compliance
19 CSR 30-61.210 Records and Reports Compliance