DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

GREEN, CHRISTINA MICHELLE

002397517

(660) 883-5698

RR 3 BOX 184
MEMPHIS
MO  63555-9358

GREEN, CHRISTINA MICHELLE



 




SUSAN MARIE DOUGLAS

BIRTH - 12 YEARS

10

FAMILY HOME

UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

08/27/2014

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2233096581


DocumentDocument-Date
APPLICATION 12/12/2013
ASSISTANT APPROVAL REQUEST 06/14/2013
ASSISTANT REFERENCES 06/11/2013
CHILD CARE/DISCIPLINE POLICIES 05/29/2013
DAILY SCHEDULE 05/29/2013
DIAGRAM/INDOOR 12/18/2013
DIAGRAM/OUTDOOR 12/18/2013
EQUIPMENT LIST 05/29/2013
FIRE/SAFETY INSPECTION 03/14/2014
OWNER/PROVIDER REFERENCES 12/24/2013
POLICIES 05/29/2013
SAMPLE WEEKLY MENU 05/29/2013
SANITATION INSPECTION 03/12/2014




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
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (B) 1 states: Fire, tornado, and other disaster drills shall meet the requirements of 19 CSR 30-61.086 Fire Safety.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
8/27/2014
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (B) 1 states: Fire, tornado, and other disaster drills shall meet the requirements of 19 CSR 30-61.086 Fire Safety.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
8/27/2014
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