MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FAIRHAVEN DAYCARE

Facility DVN
002683967

Phone
(660) 783-4015

Physical Address
220 WILLOW STREET
STANBERRY
MO 64489

Owner
HOCKADAY, GENEVA

Mailing Address

Provider/Director

E-mail Address
GRCREASON@YAHOO.COM

Incorporated

Child Care Specialist
PEGGY HASTINGS

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; 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
10/04/2018

Arrival Time
2:30 PM

Departure Time
3:07 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2341163120

Document	Document-Date
FIRE/SAFETY INSPECTION	09/12/2018
SANITATION INSPECTION	09/14/2018
DAILY SCHEDULE	10/06/2017
POLICIES	10/06/2017
SAMPLE WEEKLY MENU	10/06/2017
SAFE SLEEP POLICY	10/06/2017
DIAGRAM/OUTDOOR	10/06/2017
DIAGRAM/INDOOR	10/06/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/06/2017
EQUIPMENT LIST	10/06/2017
CHILD CARE/DISCIPLINE POLICIES	12/20/2017
APPLICATION	10/06/2017
OWNER/PROVIDER REFERENCES	12/20/2017
REGISTERING FICTITIOUS NAMES	10/27/2017
ASSISTANT REFERENCES	12/20/2017
ASSISTANT APPROVAL REQUEST	12/20/2017

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	1/23/2018

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


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 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 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