DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

HOME AWAY FROM HOME CHILD CARE LLC

002426940

(540) 850-9550

5264 AUTUMNWINDS DR
ST LOUIS
MO  63129-2463

HOME AWAY FROM HOME CHILD CARE LLC



 

KLEISLY, HOLLY MARIE



ANGELA CLARK

BIRTH - 12 YEARS

10

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE 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; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

05/01/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2304332899


DocumentDocument-Date
APPLICATION 01/09/2017
CHILD CARE/DISCIPLINE POLICIES 01/09/2017
DAILY SCHEDULE 01/09/2017
LLC OPERATING AGREEMENT 01/09/2017
DIAGRAM/INDOOR 01/09/2017
DIAGRAM/OUTDOOR 01/09/2017
EQUIPMENT LIST 01/09/2017
POLICIES 01/09/2017
SAMPLE WEEKLY MENU 01/09/2017
SAMPLE FORMS 01/09/2017
SANITATION INSPECTION 01/24/2017
OWNER/PROVIDER REFERENCES 05/01/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 01/12/2017
FIRE/SAFETY INSPECTION 01/10/2017
ASSISTANT REFERENCES 05/01/2017
ASSISTANT APPROVAL REQUEST 04/19/2017




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
Violation
 Provider Comments
Violation
The facility did not submit the name and address of two references as required for the applicant.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (D) 8 states: The names and addresses of two (2) references not related to the applicant who have knowledge of the applicant's character, experience and ability.
Correction Required
Prior to the granting of a license, two references shall be submitted for the designated provider/applicant.

Correction Verification
Submit Documentation

Compliance Date
5/1/2017
Violation
An assistant approval request was not received.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (D) 13 states: Required information for assistants.
Correction Required
An assistant approval request shall be submitted by the applicant.

Correction Verification
Submit Documentation

Compliance Date
4/19/2017
Violation
Provider did not submit requested information as evidenced by provider did not have a Fire Department notification form or a complete Emergency Preparedness plan on site.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (D) 14 states: Other information required by the department to make a determination regarding licensure of the family day care home.
Correction Required
The facility shall submit all information requested by the department.

Correction Verification
Submit Documentation

Compliance Date
5/1/2017
Violation
The provider had no evidence that fire safety requirements had been met.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (E) states: Prior to the granting of a license, the provider shall meet the requirements of 19 CSR 30-61.086 Fire Safety.
Correction Required
Prior to the granting of a license, the facility shall meet fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
1/20/2017
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following provider/employee/adult household member: Holly Kleisly, Dan Rein, Jennifer Tate and Randy Long.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (F) states: Prior to initial issuance of the license, the child care provider shall request and have on file the results of a criminal record review (CRR) from the Missouri State Highway Patrol for the child care provider, all persons employed by the child care provider, and all adult household members. The child care provider shall request a criminal record review within ten (10) days following the employment of any person and within ten (10) days after any adult becomes a household member. The department may request a criminal record review for any adult present in the family day care home when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
4/19/2017
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following provider/other householdmembers or other child care personnel: Holly Kleisly, Randy Long, Jennifer Tate and Dan Rein.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (G) states: The child care provider, other household members and other child care personnel shall be screened for child abuse/neglect prior to initial issuance of the license.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
4/19/2017
Violation
The provider was caring for more than four unrelated children prior to being granted a license.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (L) states: The child care provider shall not provide care for more than four (4) unrelated children until the home is in compliance with state statutes and licensing rules for family day care homes.
Correction Required
The provider shall have a license before caring for more than 4 unrelated children.

Correction Verification
Return Inspection

Compliance Date
5/1/2017
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
Stairways in the facility did not meet requirements as evidenced by there was no safety gate.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (H) states: Approved safety gates at stairways and doors shall be provided and used as needed.
Correction Required
Stairways shall meet safety standards as required.

Correction Verification
Submit Documentation

Compliance Date
5/1/2017
Violation
Food and water dishes used by animals were accessible to children as evidenced by the dishes were in the kitchen area, which children have access to.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 4 (F) states: Food and water dishes used by animals shall not be accessible to the children.
Correction Required
Food and water dishes used by animals shall not be accessible to children.

Correction Verification
Submit Documentation

Compliance Date
5/1/2017
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
Violation
 Provider Comments
Violation
Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 F states: Blankets or other soft or loose bedding shall not be hung on the sides of cribs or put under the fitted sheet. Only sleep clothing that is designed to keep an infant warm without the possible hazard of covering the head or face may be used during sleep or nap time.
Correction Required
Infant sleeping requirements shall be met.

Correction Verification
Submit Documentation

Compliance Date
5/1/2017
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
5/1/2017
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 6 (E) 7 F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/1/2017
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 required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren).
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
5/1/2017
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 child's full name, address, date of birth and date care begins and ends.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (A) states: The child’s full name, address, birth date and the date care begins and ends.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/27/2017
Violation
2 child(ren) records did not include work telephone number 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
4/27/2017
Violation
2 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
4/27/2017
Violation
2 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
4/27/2017
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.
Violation
 Provider Comments
Violation
Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted
Licensing Rule Reference
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification
Submit Documentation

Compliance Date
1/24/2017