MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ACTIVE PLAY DAYCARE

Facility DVN
001555384

Phone
(660) 947-3640

Physical Address
2620 PLEASANTVIEW DR
UNIONVILLE
MO 63565-1467

Owner
CURTIS, WANDA JANE

Mailing Address

Provider/Director

E-mail Address
wcurtis@nemr.net

Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
BIRTH - 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
12/09/2019

Arrival Time
1:10 PM

Departure Time
1:46 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2371106730

Document	Document-Date
SAMPLE FORMS	07/26/2013
SAMPLE WEEKLY MENU	06/24/2013
OWNER/PROVIDER REFERENCES	02/05/2013
DIAGRAM/OUTDOOR	06/24/2013
DIAGRAM/INDOOR	06/24/2013
ASSISTANT REFERENCES	02/22/2013
ASSISTANT APPROVAL REQUEST	01/22/2013
DAILY SCHEDULE	06/05/2017
FIRE/SAFETY INSPECTION	04/24/2019
REGISTERING FICTITIOUS NAMES	11/15/2017
POLICIES	02/01/2019
EQUIPMENT LIST	05/06/2019
SANITATION INSPECTION	04/11/2019
APPLICATION	05/06/2019
CHILD CARE/DISCIPLINE POLICIES	02/01/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/01/2019
SAFE SLEEP POLICY	06/29/2019

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:30PM	4:30PM	8/23/2019

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 2

Total Children 5

Staff	Child	Class Age	Note
2	5	MIXED	Staff: Wanda Curtis and April Curtis Two children under 2 years. Age range from 8 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 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