MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
CAIN, PENNY KAY

Facility DVN
001334014

Phone
(660) 537-3220

Physical Address
22838 WOODLAND SCHOOL RD
BOONVILLE
MO 65233

Owner
CAIN, PENNY KAY

Mailing Address

Provider/Director

E-mail Address
pennycain66@hotmail.com

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
BIRTH - 10 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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
04/17/2019

Arrival Time
9:50 AM

Departure Time
10:57 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2355106155

Document	Document-Date
APPLICATION	02/14/2018
EQUIPMENT LIST	02/14/2018
FIRE/SAFETY INSPECTION	01/17/2019
SANITATION INSPECTION	02/27/2019
SAFE SLEEP POLICY	01/26/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/23/2012
ASSISTANT APPROVAL REQUEST	01/23/2012
DAILY SCHEDULE	05/05/2000
CHILD CARE/DISCIPLINE POLICIES	05/05/2000
POLICIES	05/05/2000
SAMPLE WEEKLY MENU	03/06/2000
OWNER/PROVIDER REFERENCES	10/08/1999
DIAGRAM/INDOOR	03/06/2000
DIAGRAM/OUTDOOR	03/06/2000
LOCAL FIRE DEPARTMENT NOTIFICATION	10/01/2018
ASSISTANT REFERENCES	05/01/2018

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	12/20/2004

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	2 related children 2 children under 2 1 child age 2 1 child age 3 2 children age 4


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
19 CSR 30-63.040 Background Screening Findings 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