DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

COUGHENOUR, JOHNNA S

001833887

(816) 308-0680

200 FINE ST
EXCELSIOR SPRINGS
MO  64024

COUGHENOUR, JOHNNA S



 


MJ80694@ATT.NET


JILL EILEEN ZEIGENBEIN

BIRTH - 12 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

03/09/2020

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2377564788


DocumentDocument-Date
OWNER/PROVIDER REFERENCES 01/26/2005
SAMPLE WEEKLY MENU 11/23/2011
DAILY SCHEDULE 11/23/2011
CHILD CARE/DISCIPLINE POLICIES 01/26/2005
DIAGRAM/OUTDOOR 01/11/2005
DIAGRAM/INDOOR 01/11/2005
ASSISTANT APPROVAL REQUEST 12/17/2014
POLICIES 01/26/2015
SAMPLE FORMS 01/26/2005
APPLICATION 10/01/2018
EQUIPMENT LIST 12/04/2018
SAFE SLEEP POLICY 12/04/2018
SANITATION INSPECTION 10/25/2019
FIRE/SAFETY INSPECTION 01/08/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  12:00PM   2:00PM   10/8/2019



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.

 
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
Violation
 Provider Comments
Violation
The requirements for sleeping materials were not met as evidenced by 5 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Submit Documentation

Compliance Date
2/11/2020
Violation
Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that a 2 year old was napping in a playpen. There were 2 infant/toddlers in care and only 2 playpens set up. Johnna stated one toddler napped earlier and used the same playpen.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 A states: A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.
Correction Required
The facility shall provide approved sleeping equipment as required.

Correction Verification
Submit Documentation

Compliance Date
2/11/2020
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 210.115. 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