MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HOME AWAY FROM HOME CHILD CARE LLC

Facility DVN
002426940

Phone
(540) 850-9550

Physical Address
5264 AUTUMNWINDS DR
ST LOUIS
MO 63129-2463

Owner
HOME AWAY FROM HOME CHILD CARE LLC

Mailing Address

Provider/Director
KLEISLY, HOLLY MARIE

E-mail Address
tohollyshomes@aol.com

Incorporated

Child Care Specialist
AMBER JENNINGS

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

Inspection Information

Date
03/08/2018

Arrival Time
12:05 PM

Departure Time
1:03 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2326238464

Document	Document-Date
ASSISTANT APPROVAL REQUEST	09/29/2017
ASSISTANT REFERENCES	09/29/2017
FIRE/SAFETY INSPECTION	03/05/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	01/12/2017
OWNER/PROVIDER REFERENCES	05/01/2017
SANITATION INSPECTION	02/16/2018
SAMPLE FORMS	01/09/2017
APPLICATION	01/09/2017
CHILD CARE/DISCIPLINE POLICIES	01/09/2017
DAILY SCHEDULE	01/09/2017
LLC OPERATING AGREEMENT	01/09/2017
DIAGRAM/INDOOR	01/09/2017
DIAGRAM/OUTDOOR	01/09/2017
EQUIPMENT LIST	01/09/2017
POLICIES	01/09/2017
SAMPLE WEEKLY MENU	01/09/2017

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	5/3/2017

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 2

Total Children 6

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Holly (provider) and Becca (approved assistant) with 6 children, one 1-year old and five 2-year olds


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 Not Observed
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