MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
COUNTRYSIDE DAYCARE

Facility DVN
001269381

Phone
(573) 253-1736

Physical Address
20624 AUDRAIN ROAD 928
MEXICO
MO 65265

Owner
MECHLIN, TINA LOUISE

Mailing Address

Provider/Director

E-mail Address
kennymexico@aol.com

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
BIRTH - 12 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
03/15/2019

Arrival Time
11:30 AM

Departure Time
12:19 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2352445622

Document	Document-Date
REGISTERING FICTITIOUS NAMES	01/15/2013
ASSISTANT REFERENCES	08/05/2009
OWNER/PROVIDER REFERENCES	08/05/2009
ASSISTANT APPROVAL REQUEST	11/17/2009
SAMPLE FORMS	08/05/2009
SAMPLE WEEKLY MENU	08/05/2009
DAILY SCHEDULE	10/06/2009
POLICIES	08/05/2009
CHILD CARE/DISCIPLINE POLICIES	08/05/2009
DIAGRAM/OUTDOOR	08/05/2009
DIAGRAM/INDOOR	08/05/2009
APPLICATION	08/02/2017
EQUIPMENT LIST	08/02/2017
FIRE/SAFETY INSPECTION	08/21/2018
SANITATION INSPECTION	08/03/2018

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	3/9/2018

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Tina was the caregiver with the children. Children range in age from 1 year to 3 years with 3 children under 2 years. 2 related children in care.


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 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