MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BLUE GOOSE CHILD CARE, LLC

Facility DVN
002320349

Phone
(314) 704-0683

Physical Address
598 VIRGINIA AVE
ST LOUIS
MO 63119-4211

Owner
BLUE GOOSE CHILD CARE, LLC

Mailing Address

Provider/Director
GOBER, KAREN A

E-mail Address
karengober@sbcglobal.net

Incorporated

Child Care Specialist
LEATRICE L DIXON

Age Range
6 WEEKS - 12 YEARS

Capacity
8

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 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
10/31/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2343173822

Document	Document-Date
SAFE SLEEP POLICY	10/01/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/25/2018
LLC ARTICLES OF ORGANIZATION	11/07/2011
LLC OPERATING AGREEMENT	01/10/2013
OWNER/PROVIDER REFERENCES	04/24/2012
ASSISTANT REFERENCES	02/01/2013
SAMPLE FORMS	10/21/2011
SAMPLE WEEKLY MENU	10/21/2011
POLICIES	10/21/2011
DAILY SCHEDULE	10/21/2011
CHILD CARE/DISCIPLINE POLICIES	10/21/2011
DIAGRAM/OUTDOOR	10/21/2011
ASSISTANT APPROVAL REQUEST	10/21/2011
DIAGRAM/INDOOR	10/21/2011
EQUIPMENT LIST	09/13/2018
APPLICATION	08/31/2018
FIRE/SAFETY INSPECTION	08/16/2018
SANITATION INSPECTION	08/08/2018

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.


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 Violation
19 CSR 30-61.095 Furniture, Equipment and Materials Violation
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 Violation
19 CSR 30-61.135 Admission Policies and Procedures Violation
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 Violation
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