DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

HUME R-8 SCHOOL

001417229

(660) 643-7270

9163 SW 2ND ST
HUME
MO  64752-7931

HUME R-8 SCHOOL



 

KELLHOFER, DELAINA MARIE

mwikoff@humer8.k12.mo.us


TIM PHILLIPS

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

09/10/2018

10:45 AM

11:14 AM

UNANNOUNCED

COMPLIANCE MONITORING

2339134530


DocumentDocument-Date
SANITATION INSPECTION 11/29/2017
STAFF SHEET 03/01/2018
FIRE/SAFETY INSPECTION 02/20/2018
EQUIPMENT LIST 03/01/2018
APPLICATION 02/01/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/01/2018
SAMPLE WEEKLY MENU 02/23/2000
POLICIES 02/02/2010
LINES OF ADMINISTRATIVE AUTHORITY 02/23/2000
JOB RESPONSIBILITIES 02/23/2000
DISCIPLINE POLICIES 02/02/2010
DIAGRAM/INDOOR 08/18/2008
DAILY SCHEDULE 12/07/1999
CHILD CARE PRACTICES 02/02/2010
DIRECTOR'S QUALIFICATIONS 09/08/2014




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 9
StaffChildClass AgeNote
1 9 PRESCHOOL

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
Nine child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Nine child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Nine child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance