DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

WIBBERG, JENNIFER LYNN

001961542

(573) 635-1878

4751 HENWICK LN
JEFFERSON CITY
MO  65109-0109

WIBBERG, JENNIFER LYNN



 


WIBBERG7@GMAIL.COM


KAYLA TODARO

6 WEEKS - 5 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

02/14/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2299353676


DocumentDocument-Date
ASSISTANT REFERENCES 01/30/2012
SAMPLE WEEKLY MENU 12/28/2005
DIAGRAM/OUTDOOR 12/28/2005
DIAGRAM/INDOOR 12/28/2005
DAILY SCHEDULE 12/28/2005
SAMPLE FORMS 12/28/2005
POLICIES 12/28/2005
CHILD CARE/DISCIPLINE POLICIES 12/28/2005
ASSISTANT APPROVAL REQUEST 12/06/2013
OWNER/PROVIDER REFERENCES 12/28/2005
APPLICATION 12/02/2015
EQUIPMENT LIST 12/02/2015
FIRE/SAFETY INSPECTION 12/15/2015
SANITATION INSPECTION 12/29/2015




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
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
Violation
 Provider Comments
Violation
The facility's list of emergency numbers were not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 1 B states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
2/7/2017
Violation
The facility's name, address and telephone number was not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 1 A states: The name, address, and telephone number of the facility.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
2/7/2017
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
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of 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
2/10/2017
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