DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BURGENER, KATHERENE

000526112

(660) 376-3000

210 W CURTIS
MARCELINE
MO  64658

BURGENER, KATHERENE



 




SUSAN MARIE DOUGLAS

BIRTH - 12 YEARS

10

FAMILY HOME

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

07/21/2014

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2230656224


DocumentDocument-Date
FIRE/SAFETY INSPECTION 07/17/2013
ASSISTANT REFERENCES 07/15/2013
ASSISTANT APPROVAL REQUEST 06/12/2013
CHILD CARE/DISCIPLINE POLICIES 08/01/2003
POLICIES 07/25/2003
DAILY SCHEDULE 05/06/1993
APPLICATION 04/25/2013
EQUIPMENT LIST 04/25/2013
SANITATION INSPECTION 05/06/2013
DIAGRAM/INDOOR 09/02/1993
DIAGRAM/OUTDOOR 09/02/1993
SAMPLE WEEKLY MENU 05/06/1993
OWNER/PROVIDER REFERENCES 02/25/1993

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:20PM   5:20PM   7/18/2013



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.

 
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
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 needs an updated immunization record.
Licensing Rule Reference
19 CSR 30-61.185 Health Care 4 (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/21/2014
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