DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

DOUGLAS, TRACY

001213056

(314) 448-2862

2915 MIAMI
ST LOUIS
MO  63118

DOUGLAS, TRACY EVETT

PO BOX 18703
ST LOUIS
MO  63118-0703

DOUGLAS, TRACY EVETT

TRACYSDCARE@YAHOO.COM


ANGELA CLARK

6 WEEKS - 12 YEARS

10

FAMILY HOME

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

06/25/2019

1:30 PM

4:31 PM

ANNOUNCED

RENEWAL

2359121533


DocumentDocument-Date
ASSISTANT REFERENCES 08/13/1999
OWNER/PROVIDER REFERENCES 09/24/1998
SAMPLE WEEKLY MENU 08/13/1999
SAMPLE FORMS 06/05/2007
POLICIES 08/13/1999
DIAGRAM/OUTDOOR 06/08/2004
DIAGRAM/INDOOR 06/08/2004
DAILY SCHEDULE 12/30/1999
CHILD CARE/DISCIPLINE POLICIES 08/13/1999
ASSISTANT APPROVAL REQUEST 06/12/2017
APPLICATION 06/05/2019
FIRE/SAFETY INSPECTION 05/23/2019
SANITATION INSPECTION 04/08/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/03/2012

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   7/27/2009



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 2
StaffChildClass AgeNote
1 2 MIXED Provider Tracy Douglas with one 2 year old, 1 three year old and three additional related children.

 
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
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal 1 (G) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required for renewal.

Correction Verification
Return Inspection

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Douglas, Tracy provider and Douglas, Berthetta approved assistant within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal 2 states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Douglas, Tracy provider and Douglas, Berthetta approved assistant.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal 3 states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Fabuloso cleaner. The item(s) was/were located in the kitchen in the cabinet under the sink.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
6/25/2019
19 CSR 30-61.086 Fire Safety
Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 3 states: Any special instructions for infants and non-ambulatory children.
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
6/25/2019
Violation
The facility's disaster plan did not include exit routes to a safe location out of the facility.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) 2 states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes.
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
 Provider Comments
Violation
The following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (E) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home.
Correction Required
Assistant information shall be posted as required.

Correction Verification
Corrected on Site

Compliance Date
6/25/2019
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed needs the following information: Tracy Douglas needs 5.5 hours for 2018.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 4 (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each year of employment in training which is approved by the department in health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child-related areas. Any assistant working more than five (5) hours per week shall meet the same training requirements.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The provider did not have a completed and signed form for related children.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 7 . states: If care is provided for children related to the provider who do not live in the home, the parent(s) shall complete and sign a form which is supplied by the department. The form shall be on file at the home before related children are accepted for care and shall contain the following identifying information:
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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