DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

MICKELSON, KRISTINA LYNN

001838177

(573) 202-9925

11075 WOODALE DR
ROLLA
MO  65401

MICKELSON, KRISTINA LYNN



 


KRISMIKE@CENTURYLINK.NET


KAYLA TODARO

BIRTH - 13 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

07/14/2017

10:00 AM

10:35 AM

UNANNOUNCED

COMPLIANCE MONITORING

2309233399


DocumentDocument-Date
FIRE/SAFETY INSPECTION 04/19/2017
OWNER/PROVIDER REFERENCES 02/23/2004
SAMPLE WEEKLY MENU 05/05/2004
SAMPLE FORMS 02/02/2004
DAILY SCHEDULE 02/02/2004
CHILD CARE/DISCIPLINE POLICIES 02/02/2004
POLICIES 02/02/2004
DIAGRAM/OUTDOOR 07/30/2004
DIAGRAM/INDOOR 07/30/2004
ASSISTANT APPROVAL REQUEST 05/25/2010
APPLICATION 05/31/2016
EQUIPMENT LIST 05/31/2016
SANITATION INSPECTION 06/30/2017




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 7
StaffChildClass AgeNote
1 7 MIXED Kristina Mickelson with 7 children (2 under the age of 2).

 
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
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