DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

JAMES, ANNETTE NOLENE

002056653

(660) 216-2360

22145 COUNTY ROAD 164
KAHOKA
MO  63445-1488

JAMES, ANNETTE NOLENE



 


dnjames@marktwain.net


BETHANY C DUCKWORTH

BIRTH - 13 YEARS

10

FAMILY HOME

UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

09/12/2019

11:50 AM

1:03 PM

UNANNOUNCED

COMPLIANCE MONITORING

2363967004


DocumentDocument-Date
OWNER/PROVIDER REFERENCES 08/22/2008
DIAGRAM/OUTDOOR 11/03/2008
DIAGRAM/INDOOR 11/03/2008
ASSISTANT APPROVAL REQUEST 07/20/2016
SAMPLE WEEKLY MENU 04/23/2008
POLICIES 11/03/2008
CHILD CARE/DISCIPLINE POLICIES 11/03/2008
DAILY SCHEDULE 11/03/2008
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/06/2012
SAFE SLEEP POLICY 01/27/2016
ASSISTANT REFERENCES 08/09/2016
APPLICATION 08/21/2018
EQUIPMENT LIST 08/21/2018
SANITATION INSPECTION 07/31/2019
FIRE/SAFETY INSPECTION 08/20/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:00PM   9/13/2016
  7:30AM   8:00AM   9/13/2016



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 7
StaffChildClass AgeNote
1 7 MIXED Staff: Annette "Nolene" James 2 children under age 2. Age range 16 months to 4 years

 
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. Results were missing for the following child care staff member(s): Cinda James, assistant. (Cinda needs Fingerprints and FCSR screening ran).
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
Verification of safe sleep training was not documented and maintained as evidenced by there was no documentation of Safe Sleep training for Cinda James.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (5) (A) states: The training shall be documented and maintained as described in paragraph (4)(E)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

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
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 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance