DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BELBEN, ALLISON

002212126

(417) 315-1621

3934 W YOUNG ST
SPRINGFIELD
MO  65803-5404

BELBEN, ALLISON



 


mrsbelben@gmail.com


ANGEL DONSON

6 WEEKS - 5 YEARS

10

FAMILY HOME

2 CHILDREN UNDER 12 MONTHS; 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

12/13/2017

1:30 PM

2:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2320018668


DocumentDocument-Date
ASSISTANT REFERENCES 06/27/2012
OWNER/PROVIDER REFERENCES 04/05/2012
ASSISTANT APPROVAL REQUEST 06/27/2012
SAMPLE FORMS 11/18/2011
SAMPLE WEEKLY MENU 11/18/2011
DAILY SCHEDULE 11/18/2011
CHILD CARE/DISCIPLINE POLICIES 11/18/2011
DIAGRAM/OUTDOOR 11/18/2011
DIAGRAM/INDOOR 11/18/2011
FIRE/SAFETY INSPECTION 03/01/2016
EQUIPMENT LIST 04/25/2016
APPLICATION 04/25/2016
SANITATION INSPECTION 05/06/2016




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.

 
19 CSR 30-61.025 Organization and Administration
Not Observed
19 CSR 30-61.045 Initial Licensing Information
Violation
 Provider Comments
Violation
Conditions specified on the license were not met as evidenced by child care was being provided, but the provider stated she was not in compliance with licensing rules and regulations.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (V) states: All day care provided on the premises of a licensed family day care home shall be in compliance with the licensing rules and the conditions specified on the license.
Correction Required
The provider shall maintain compliance with the licensing rules and conditions specified on the license.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-61.055 License Renewal
Not Observed
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Animal excrement was observed in an outdoor area used by children; the location of the excrement was located throughout the play yard.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 4 (D) states: Areas used by children shall be free of animal excrement.
Correction Required
No animal excrement shall be in areas used by children.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by no files were available for review.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 1 states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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