MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CHISAM, JESSICA MARIE

Facility DVN
002238279

Phone
(816) 883-8569

Physical Address
8814 N ESSEX DR
KANSAS CITY
MO 64156

Owner
CHISAM, JESSICA MARIE

Mailing Address

Provider/Director

E-mail Address
CHISAMJON@YAHOO.COM

Incorporated

Child Care Specialist
WANDA ILENE TAYLOR

Age Range
1 MONTH - 13 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
10 IN CARE NO MORE THAN 4 UNDER 2 WITH 2 ADULT CAREGIVERS; 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; IF ONLY 4 PRESENT, ALL CHILDREN MAY BE UNDER 2 WITH 1 ADULT

Inspection Information

Date
06/05/2014

Arrival Time
12:55 PM

Departure Time
1:41 PM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2227511017

Document	Document-Date
ASSISTANT APPROVAL REQUEST	08/15/2012
ASSISTANT REFERENCES	09/08/2010
CHILD CARE/DISCIPLINE POLICIES	08/15/2012
DAILY SCHEDULE	08/15/2012
DIAGRAM/INDOOR	08/15/2012
DIAGRAM/OUTDOOR	08/15/2012
OWNER/PROVIDER REFERENCES	09/14/2010
POLICIES	08/15/2012
SAMPLE FORMS	08/15/2012
SAMPLE WEEKLY MENU	08/15/2012
SANITATION INSPECTION	04/24/2014
APPLICATION	03/18/2014
FIRE/SAFETY INSPECTION	05/19/2014
EQUIPMENT LIST	06/05/2014

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	5:00PM	8/15/2012
8:00AM	9:00AM	8/15/2012

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 2

Total Children 6

Staff	Child	Class Age	Note
2	6	MIXED	Includes one child under age 2 years. 2 related children also present.


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 Compliance
19 CSR 30-61.165 Emergency School Closings Compliance
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