DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

HOME AWAY FROM HOME CHILD CARE LLC

002426940

(540) 850-9550

5264 AUTUMNWINDS DR
ST LOUIS
MO  63129-2463

HOME AWAY FROM HOME CHILD CARE LLC



 

KLEISLY, HOLLY MARIE

tohollyshomes@aol.com


DENISE ELAYNE KOCH

BIRTH - 12 YEARS

10

FAMILY HOME

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

09/14/2018

10:57 AM

12:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2340091500


DocumentDocument-Date
SAFE SLEEP POLICY 04/19/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/19/2017
LLC ARTICLES OF ORGANIZATION 09/20/2018
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
SANITATION INSPECTION 02/16/2018
SAMPLE FORMS 01/09/2017
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

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



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 10
StaffChildClass AgeNote
2 10 MIXED Holly Kleisly and Rebecca Trice present with 10 children ages 7 months to 5 years old (three children present are under the age of 24 months old).

 
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
Not Observed
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following provider/employee/adult household member: Daniel Rein, emergency assistant's background screening older than 2 years (dated 7/12/16) and Holly Kleisly (background screening was unable to be located during the inspection).
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (L) states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-61.045 Initial Licensing Information and 19 CSR 30-61.055 License Renewal. This shall include the results of a criminal record review from the Missouri State Highway Patrol for the child care provider, all persons employed by the child care provider, and all adult household members. The child care provider shall request a criminal record review within ten (10) days following the employment of any person and within ten (10) days after any adult becomes a household member. The department may request a criminal record review for any adult present in the family day care home when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
19 CSR 30-61.190 Nutrition and Food Service
Compliance
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
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
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance