DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

ROTH, MARTINA H

002289125

(816) 431-4903

1721 TODD ST
PLATTE CITY
MO  64079-9356

ROTH, MARTINA H



 


GPTINA36@GMAIL.COM


JANA BARTON

6 WEEKS - 12 YEARS

10

FAMILY HOME

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
 
Inspection Information

11/26/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2344855508


DocumentDocument-Date
FIRE/SAFETY INSPECTION 05/01/2018
ASSISTANT REFERENCES 07/22/2011
SAFE SLEEP POLICY 05/11/2016
SANITATION INSPECTION 03/19/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/01/2018
DAILY SCHEDULE 06/17/2011
CHILD CARE/DISCIPLINE POLICIES 06/17/2011
POLICIES 06/17/2011
SAMPLE FORMS 06/17/2011
OWNER/PROVIDER REFERENCES 06/17/2011
ASSISTANT APPROVAL REQUEST 06/14/2013
DIAGRAM/INDOOR 07/19/2011
DIAGRAM/OUTDOOR 07/19/2011
APPLICATION 04/10/2017
EQUIPMENT LIST 04/10/2017
SAMPLE WEEKLY MENU 06/17/2011

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:15PM   3:00PM   8/15/2018
  4:00PM   4:30PM   8/15/2018
  7:30AM   8:00AM   8/15/2018



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
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
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 2 (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/26/2018
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
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
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 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance