MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
POTTER, STEPHANIE

Facility DVN
000719137

Phone
(660) 838-6693

Physical Address
13888 OSAGE VALLEY RD
BOONVILLE
MO 65233

Owner
POTTER, STEPHANIE

Mailing Address

Provider/Director

E-mail Address
SLPOTTER85@YMAIL.COM

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
BIRTH - 14 YEARS

Capacity
10

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 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

Date
12/21/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2347073699

Document	Document-Date
DIAGRAM/INDOOR	08/14/2003
DIAGRAM/OUTDOOR	06/15/2005
POLICIES	06/19/1998
SAMPLE WEEKLY MENU	05/30/1996
DAILY SCHEDULE	05/30/1996
APPLICATION	05/11/2017
EQUIPMENT LIST	05/12/2017
FIRE/SAFETY INSPECTION	04/25/2018
SANITATION INSPECTION	05/17/2018
CHILD CARE/DISCIPLINE POLICIES	05/03/1996
OWNER/PROVIDER REFERENCES	06/26/1995
ASSISTANT REFERENCES	06/12/2009
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/14/2018
SAFE SLEEP POLICY	06/14/2018
ASSISTANT APPROVAL REQUEST	02/24/2012

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:15PM	6/19/2013
7:00AM	7:30AM	6/19/2013

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 Violation
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 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