DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

LESLIE SUZANNE KARNES LAMBERT, LLC

001983948

(573) 472-0804

843 CAMBRIDGE DR
SIKESTON
MO  63801-5701

LESLIE SUZANNE KARNES LAMBERT L.L.C.



 


hand-in-hand@sbcglobal.net


JESSICA GRAHAM

24 MONTHS - 10 YEARS

10

FAMILY HOME

 
Inspection Information

01/08/2019

3:15 PM

4:09 PM

UNANNOUNCED

COMPLIANCE MONITORING

2347859734


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/15/2015
APPLICATION 05/01/2017
ASSISTANT APPROVAL REQUEST 09/15/2015
CHILD CARE/DISCIPLINE POLICIES 09/15/2015
DAILY SCHEDULE 09/15/2015
DIAGRAM/INDOOR 09/15/2015
DIAGRAM/OUTDOOR 09/15/2015
EQUIPMENT LIST 07/07/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 09/15/2015
OWNER/PROVIDER REFERENCES 09/15/2015
POLICIES 09/15/2015
SAMPLE WEEKLY MENU 09/14/2015
ASSISTANT REFERENCES 09/15/2015
LLC ARTICLES OF ORGANIZATION 09/17/2015
LLC OPERATING AGREEMENT 09/17/2015
FIRE/SAFETY INSPECTION 06/18/2018
SANITATION INSPECTION 06/19/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:30PM   4:30PM   9/21/2015



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 9
StaffChildClass AgeNote
1 9 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
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the old septic tank pipes are exposed in the outdoor play space.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by a white pvc pipe is running across the middle of the play space posing a tripping hazard.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by an extension cord and a rubber tube is running across the outdoor play space that was being used for maintenance on the facilities bathroom.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
1/8/2019
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that a temporary fence was placed on a section of the approved outdoor space. The fencing is attached with zipties that have long ends that need to be clipped.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 1 states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Outdoor equipment, the little tykes climber, in the outdoor play space was not in good condition as evidenced by the door of the climber was cracked.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Submit Documentation

Compliance Date

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.
Not Observed
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance