MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
LEWIS, KATHIE L

Facility DVN
000255709

Phone
(573) 562-2994

Physical Address
1108 CAVINESS DR
LEADWOOD
MO 63653

Owner
LEWIS, KATHIE LANETTE

Mailing Address

Provider/Director
LEWIS, KATHIE LANETTE

E-mail Address
KATHIE_LEWIS@ROCKETMAIL.COM

Incorporated

Child Care Specialist
RONDA TUSCHHOFF

Age Range
6 WEEKS - 12 YEARS

Capacity
10

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 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 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
11/14/2017

Arrival Time
9:30 AM

Departure Time
11:04 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2317872344

Document	Document-Date
SAMPLE WEEKLY MENU	05/18/1987
POLICIES	04/27/2012
OWNER/PROVIDER REFERENCES	03/16/1987
DAILY SCHEDULE	05/18/1987
CHILD CARE/DISCIPLINE POLICIES	04/27/2012
ASSISTANT REFERENCES	03/14/2013
ASSISTANT APPROVAL REQUEST	05/19/2017
DIAGRAM/OUTDOOR	05/06/1999
DIAGRAM/INDOOR	05/06/1999
FIRE/SAFETY INSPECTION	03/28/2017
EQUIPMENT LIST	05/17/2015
APPLICATION	04/11/2017
SANITATION INSPECTION	03/13/2017

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	5/4/2015

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Staff Present: Kathy Lewis Children Present: 6 unrelated children including 1 child age 2 years and 2 children 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 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 Violation
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 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 Compliance
19 CSR 30-61.185 Health Care Violation
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 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