DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

CUPP, CATHY R

000505064

(660) 376-2601

1123 N CHESTNUT ST
MARCELINE
MO  64658

CUPP, CATHY R



 




SUSAN MARIE DOUGLAS

BIRTH - 12 YEARS

10

FAMILY HOME

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

01/22/2015

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2244260175


DocumentDocument-Date
SANITATION INSPECTION 11/12/2014
FIRE/SAFETY INSPECTION 12/09/2014
EQUIPMENT LIST 10/20/2014
APPLICATION 10/20/2014
SAMPLE WEEKLY MENU 10/02/1992
OWNER/PROVIDER REFERENCES 10/19/1992
DAILY SCHEDULE 10/02/1992
ASSISTANT APPROVAL REQUEST 03/01/2013
ASSISTANT REFERENCES 09/24/1992
POLICIES 12/29/1992
CHILD CARE/DISCIPLINE POLICIES 12/29/1992
DIAGRAM/OUTDOOR 12/29/1992
DIAGRAM/INDOOR 12/29/1992

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:00PM   12/22/2010
  7:30AM   8:00AM   12/22/2010



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 an immunization record was not on file the first day a child attended.
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
1/22/2015
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
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance