DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

DENTON, SHANNON

001108545

(816) 532-3622

213 SURREY CT
SMITHVILLE
MO  64089

DENTON, SHANNON

213 SURREY CT
SMITHVILLE
MO  64089


SDENTON4@KC.RR.COM


WANDA ILENE TAYLOR

6 WEEKS - 10 YEARS

10

FAMILY HOME

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

02/20/2015

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2247009950


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/04/2014
POLICIES 02/06/2003
SANITATION INSPECTION 01/29/2015
EQUIPMENT LIST 01/12/2015
ASSISTANT REFERENCES 06/13/2001
OWNER/PROVIDER REFERENCES 12/28/2000
ASSISTANT APPROVAL REQUEST 12/16/2008
SAMPLE WEEKLY MENU 12/28/2000
DAILY SCHEDULE 12/28/2000
CHILD CARE/DISCIPLINE POLICIES 02/06/2003
DIAGRAM/OUTDOOR 12/27/2000
DIAGRAM/INDOOR 12/27/2000
APPLICATION 01/12/2015




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
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal 1 (G) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required for renewal.

Correction Verification
Submit Documentation

Compliance Date
1/12/2015
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
The provider had no evidence of compliance with local or state requirements for nonpublic water supply or sewage disposal system.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (D) states: Water supply and sewage disposal systems shall conform to state or local requirements, or both.
Correction Required
The facility shall comply with sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
1/29/2015
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by Children B, C, D, E, F and G did not have child development information on file.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 5 (E) 2 states: Information regarding a child's personal development, behavior patterns, habits and individual needs.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/10/2015
Violation
Written permission was not on file for a school-age child to leave the home.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 5 (E) 6 states: Permission for school-age children to leave the home to participate in classes, clubs or other activities, naming the activity, time of leaving and returning and the method of transportation to and from the activity (Permission for regular activities such as scouting may be given for the entire school term.)
Correction Required
Written permission for school-age children to leave the facility shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/10/2015
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 Children B and H did not have all required immunizations.
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
2/19/2015
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
Violation
 Provider Comments
Violation
One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/10/2015
Violation
Two child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/10/2015
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance