DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

POTTER, STEPHANIE

000719137

(660) 838-6693

13888 OSAGE VALLEY RD
BOONVILLE
MO  65233

POTTER, STEPHANIE



 


SLPOTTER85@YMAIL.COM


SUSAN MARIE DOUGLAS

BIRTH - 14 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

12/31/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2372568265


DocumentDocument-Date
DIAGRAM/INDOOR 08/14/2003
DIAGRAM/OUTDOOR 06/15/2005
POLICIES 06/19/1998
SAMPLE WEEKLY MENU 05/30/1996
DAILY SCHEDULE 05/30/1996
CHILD CARE/DISCIPLINE POLICIES 05/03/1996
OWNER/PROVIDER REFERENCES 06/26/1995
ASSISTANT REFERENCES 06/12/2009
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/14/2018
SAFE SLEEP POLICY 06/14/2018
ASSISTANT APPROVAL REQUEST 02/24/2012
APPLICATION 05/01/2019
FIRE/SAFETY INSPECTION 05/07/2019
EQUIPMENT LIST 06/07/2019
SANITATION INSPECTION 06/17/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:15PM   6/19/2013
  7:00AM   7:30AM   6/19/2013



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.

 
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
Violation
 Provider Comments
Violation
There was no parental written objection to immunizations on file for 2 child(ren).
Licensing Rule Reference
19 CSR 30-61.185 Health Care 4 (B) 2 B states: A parent or guardian exemption by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/31/2019
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 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when.
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