DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

EVILSIZER, REBECCA

000220835

(660) 247-1185

1664 POLK
CHILLICOTHE
MO  64601

EVILSIZER, REBECCA



 


bbsitr@sbcglobal.net


ELLEN DONOHO

BIRTH - 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

08/30/2019

2:14 PM

3:04 PM

UNANNOUNCED

REINSPECTION

2363074146


DocumentDocument-Date
SAMPLE WEEKLY MENU 01/08/1987
SAMPLE FORMS 01/27/2012
OWNER/PROVIDER REFERENCES 09/10/1986
DIAGRAM/OUTDOOR 01/08/1987
DIAGRAM/INDOOR 01/08/1987
DAILY SCHEDULE 03/25/1997
ASSISTANT REFERENCES 02/20/1992
ASSISTANT APPROVAL REQUEST 02/26/2010
CHILD CARE/DISCIPLINE POLICIES 01/13/2014
POLICIES 01/10/2016
APPLICATION 10/26/2017
FIRE/SAFETY INSPECTION 03/21/2019
SANITATION INSPECTION 01/28/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   4:00PM   1/27/2012
  7:00AM   8:00AM   1/27/2012



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 9
StaffChildClass AgeNote
1 9 MIXED 1- 7weeks, 1- 9 months, 2- 2 year olds, 2- 3 year olds, 2- 4 year olds, 1 5 year old

 
19 CSR 30-61.025 Organization and Administration
Not Observed
19 CSR 30-61.045 Initial Licensing Information
Violation
 Provider Comments
Violation
The number of children was/were exceeded as evidenced by 13 children were present with the provider and an assistant. Three additional related children were observed at the home.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (U) states: The number and ages of children a family day care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the limitations specified on the license.

Correction Verification
Return Inspection

Compliance Date
8/30/2019
19 CSR 30-61.055 License Renewal
Not Observed
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Not Observed
19 CSR 30-61.086 Fire Safety
Not Observed
19 CSR 30-61.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-61.095 Furniture, Equipment and Materials
Not Observed
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Not Observed
19 CSR 30-61.115 Day Care Family and Household
Not Observed
19 CSR 30-61.125 Medical Examination Reports
Not Observed
19 CSR 30-61.135 Admission Policies and Procedures
Not Observed
19 CSR 30-61.145 Nighttime Care
Not Observed
19 CSR 30-61.155 Overlap Care of Children
Not Observed
19 CSR 30-61.165 Emergency School Closings
Not Observed
19 CSR 30-61.175 Child Care Program
Not Observed
19 CSR 30-61.185 Health Care
Not Observed
19 CSR 30-61.190 Nutrition and Food Service
Not Observed
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Not Observed
19 CSR 30-63.040 Background Screening Findings
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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.
Not Observed