DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

THOLEN, LISA

002550798

(417) 649-1104

606 E BRIARBROOK LN
CARL JUNCTION
MO  64834-9695

THOLEN, LISA



 


ltholen@hotmail.com


TIM PHILLIPS

BIRTH - 10 YEARS

10

FAMILY HOME

2 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/15/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2299375829


DocumentDocument-Date
APPLICATION 10/26/2015
ASSISTANT APPROVAL REQUEST 10/26/2015
CHILD CARE/DISCIPLINE POLICIES 10/26/2015
SAMPLE WEEKLY MENU 10/06/2015
EQUIPMENT LIST 10/26/2015
DIAGRAM/INDOOR 10/06/2015
DIAGRAM/OUTDOOR 10/06/2015
DAILY SCHEDULE 10/06/2015
OWNER/PROVIDER REFERENCES 10/19/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 10/26/2015
ASSISTANT REFERENCES 10/19/2015
POLICIES 10/26/2015
SANITATION INSPECTION 10/07/2015
FIRE/SAFETY INSPECTION 10/22/2015

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:55PM   5:00PM   10/26/2015



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
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved as evidenced by bare soil is present under the climber.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 6 states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
2/10/2017
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
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