MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
POKE, CAROLYN

Facility DVN
001177480

Phone
(816) 333-0810

Physical Address
3015 E 68TH ST
KANSAS CITY
MO 64132

Owner
POKE, CAROLYN

Mailing Address

Provider/Director

E-mail Address
POKE_T@YAHOO.COM

Incorporated

Child Care Specialist
PENNY SNODGRASS

Age Range
BIRTH - 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 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

Date
02/02/2018

Arrival Time
11:00 AM

Departure Time
11:31 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2323687583

Document	Document-Date
SAMPLE FORMS	02/24/1999
FIRE/SAFETY INSPECTION	01/09/2018
SANITATION INSPECTION	12/11/2017
SAFE SLEEP POLICY	10/20/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/28/2012
POLICIES	02/24/1999
OWNER/PROVIDER REFERENCES	03/01/1999
DIAGRAM/OUTDOOR	01/02/2001
DIAGRAM/INDOOR	01/02/2001
DAILY SCHEDULE	08/26/1998
CHILD CARE/DISCIPLINE POLICIES	02/24/1999
ASSISTANT REFERENCES	10/11/2012
ASSISTANT APPROVAL REQUEST	02/05/2013
SAMPLE WEEKLY MENU	08/26/1998
APPLICATION	01/17/2017
EQUIPMENT LIST	01/17/2017

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	no related children. no 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 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