MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MERRELL, STEPHANIE

Facility DVN
001183839

Phone
(573) 655-4206

Physical Address
506 W WYACONDA
LA GRANGE
MO 63448-0

Owner
MERRELL, STEPHANIE

Mailing Address

Provider/Director

E-mail Address
stephaniemerrell@centurylink.net

Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
6 WEEKS - 12 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
10/22/2019

Arrival Time
11:30 AM

Departure Time
12:16 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2367263018

Document	Document-Date
APPLICATION	07/01/2019
EQUIPMENT LIST	07/01/2019
FIRE/SAFETY INSPECTION	06/19/2019
SANITATION INSPECTION	06/29/2019
DAILY SCHEDULE	04/12/1999
SAMPLE WEEKLY MENU	04/12/1999
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/20/2012
SAFE SLEEP POLICY	02/22/2016
OWNER/PROVIDER REFERENCES	07/12/1999
CHILD CARE/DISCIPLINE POLICIES	10/07/1999
POLICIES	02/03/2007
ASSISTANT APPROVAL REQUEST	03/07/2017
ASSISTANT REFERENCES	03/24/2017
DIAGRAM/OUTDOOR	10/12/1999
DIAGRAM/INDOOR	10/12/1999

Overlap Start Time	Overlap End Time	Overlap Submit Date
10:00AM	12:00PM	8/16/2016

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 7

Staff	Child	Class Age	Note
1	7	MIXED	Staff: Stephanie Merrell 2 children under 2 years. Age range 13 months through 5 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 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 210.211. 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