MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
JACOBS, MARGARET E.

Facility DVN
000200553

Phone
(816) 478-0016

Physical Address
5504 NE WILDFLOWER CT
LEES SUMMIT
MO 64064

Owner
JACOBS, MARGARET E.

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
PENNY SNODGRASS

Age Range
1 MONTH - 12 YEARS

Capacity
8

Facility Type
FAMILY HOME

Limitations
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 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
08/07/2017

Arrival Time
10:00 AM

Departure Time
10:34 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2310725329

Document	Document-Date
SAMPLE WEEKLY MENU	03/07/1986
SAMPLE FORMS	09/29/1993
DIAGRAM/OUTDOOR	03/11/1999
DIAGRAM/INDOOR	03/11/1999
DAILY SCHEDULE	07/16/1986
CHILD CARE/DISCIPLINE POLICIES	08/19/1993
ASSISTANT APPROVAL REQUEST	01/23/2013
POLICIES	10/01/1986
OWNER/PROVIDER REFERENCES	01/10/1985
ASSISTANT REFERENCES	01/23/2013
APPLICATION	01/20/2017
SANITATION INSPECTION	01/19/2017
EQUIPMENT LIST	02/03/2017
FIRE/SAFETY INSPECTION	01/09/2017

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 3

Staff	Child	Class Age	Note
1	3	MIXED	2 under age 2 years


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 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