MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ADKISSON, LAURA

Facility DVN
002242853

Phone
(573) 682-5458

Physical Address
6517 AUDRAIN ROAD 109
CENTRALIA
MO 65240-5835

Owner
ADKISSON, LAURA BETH

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
JIM PARSLEY

Age Range
BIRTH - 6 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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

Date
02/02/2017

Arrival Time
9:30 AM

Departure Time
10:49 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2298896812

Document	Document-Date
DIAGRAM/INDOOR	09/23/2014
DIAGRAM/OUTDOOR	09/23/2014
CHILD CARE/DISCIPLINE POLICIES	05/26/2011
DAILY SCHEDULE	04/22/2011
SAMPLE WEEKLY MENU	04/22/2011
ASSISTANT APPROVAL REQUEST	05/17/2011
ASSISTANT REFERENCES	09/23/2011
OWNER/PROVIDER REFERENCES	05/17/2011
POLICIES	05/26/2011
APPLICATION	07/05/2016
EQUIPMENT LIST	07/20/2016
FIRE/SAFETY INSPECTION	07/12/2016
SANITATION INSPECTION	06/01/2016

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:00PM	6/13/2011
7:00AM	7:30AM	6/13/2011

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Attendance at Time of Inspection

Total Staff 1

Total Children 10

Staff	Child	Class Age	Note
1	10	MIXED	There were 10 children not related to Laura Adkisson in care including 2 children under 2 yrs of age.


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 Violation
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