DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BAKER, RITA

000624346

(573) 754-5917

3519 HICKORY DR
LOUISIANA
MO  63353

BAKER, RITA



 




WENDI MATLICK

6 WEEKS - 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

06/13/2016

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2283035716


DocumentDocument-Date
EQUIPMENT LIST 04/28/2016
APPLICATION 04/28/2016
SANITATION INSPECTION 05/18/2016
FIRE/SAFETY INSPECTION 04/26/2016
CHILD CARE/DISCIPLINE POLICIES 06/27/1994
OWNER/PROVIDER REFERENCES 06/09/1994
SAMPLE WEEKLY MENU 06/27/1994
DAILY SCHEDULE 06/27/1994
DIAGRAM/OUTDOOR 05/04/2006
DIAGRAM/INDOOR 05/04/2006

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   4/25/2014



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
Violation
 Provider Comments
Violation
The fire inspection was not conducted.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal 1 (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with fire and safety requirements for renewal.

Correction Verification
Submit Documentation

Compliance Date
5/16/2016
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
5/31/2016
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's written policies did not contain information pertaining to safe sleep practices for children less than 1 year of age.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 1 states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.

Correction Verification
Submit Documentation

Compliance Date
6/6/2016
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
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance