DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

ROBINS, AUTUMN

002623825

(573) 864-2680

7815 N BROOKHILL CT
COLUMBIA
MO  65202-6599

ROBINS, AUTUMN



 


autumn12311@gmail.com


JOY LYNN NICHOLS

6 WEEKS - 5 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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

07/31/2017

10:00 AM

10:09 AM

UNANNOUNCED

REINSPECTION

2310287516


DocumentDocument-Date
SANITATION INSPECTION 12/16/2016
SAMPLE WEEKLY MENU 12/01/2016
SAMPLE FORMS 12/01/2016
REGISTERING FICTITIOUS NAMES 12/21/2016
POLICIES 12/21/2016
OWNER/PROVIDER REFERENCES 12/09/2016
FIRE/SAFETY INSPECTION 12/07/2016
EQUIPMENT LIST 12/21/2016
DIAGRAM/OUTDOOR 12/21/2016
DIAGRAM/INDOOR 12/21/2016
DAILY SCHEDULE 12/01/2016
CHILD CARE/DISCIPLINE POLICIES 12/21/2016
ASSISTANT REFERENCES 12/05/2016
ASSISTANT APPROVAL REQUEST 12/21/2016
APPLICATION 10/17/2016




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 2
Total Children 9
StaffChildClass AgeNote
2 9 MIXED 3 children under age two; 1 related child; Autumn and Amanda

 
19 CSR 30-61.025 Organization and Administration
Not Observed
19 CSR 30-61.045 Initial Licensing Information
Violation
 Provider Comments
Violation
The number of children was/were exceeded as evidenced by there were nine total children present with five of the children being under age two.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (U) states: The number and ages of children a family day care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the limitations specified on the license.

Correction Verification
Return Inspection

Compliance Date
7/31/2017
19 CSR 30-61.055 License Renewal
Not Observed
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Not Observed
19 CSR 30-61.086 Fire Safety
Not Observed
19 CSR 30-61.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-61.095 Furniture, Equipment and Materials
Not Observed
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Not Observed
19 CSR 30-61.115 Day Care Family and Household
Not Observed
19 CSR 30-61.125 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/7/17.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 2 (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.135 Admission Policies and Procedures
Not Observed
19 CSR 30-61.145 Nighttime Care
Not Observed
19 CSR 30-61.155 Overlap Care of Children
Not Observed
19 CSR 30-61.165 Emergency School Closings
Not Observed
19 CSR 30-61.175 Child Care Program
Not Observed
19 CSR 30-61.185 Health Care
Not Observed
19 CSR 30-61.190 Nutrition and Food Service
Not Observed
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed