DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

SHIPLEY, KELLY

002069827

(660) 227-3402

619 W HARRISON ST
BUTLER
MO  64730

SHIPLEY, KELLY J



 


KJSHIPLEY@HOTMAIL.COM


GINA HOHENSEE

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

06/24/2020

1:00 PM

1:39 PM

ANNOUNCED

SUPPLEMENTAL

2381852792


DocumentDocument-Date
SAMPLE WEEKLY MENU 01/02/2008
POLICIES 01/27/2010
DIAGRAM/OUTDOOR 12/06/2007
DIAGRAM/INDOOR 12/06/2007
CHILD CARE/DISCIPLINE POLICIES 01/27/2010
DAILY SCHEDULE 12/06/2007
APPLICATION 10/30/2019
FIRE/SAFETY INSPECTION 12/02/2019
ASSISTANT APPROVAL REQUEST 12/14/2017
EQUIPMENT LIST 10/30/2019
SAFE SLEEP POLICY 06/26/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/01/2018
SANITATION INSPECTION 10/16/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:00AM   12:00PM   12/12/2019
  3:30PM   4:30PM   12/12/2019



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 1
Total Children 9
StaffChildClass AgeNote
1 9 MIXED 1 under 24 months of age, 2 two-years old, 2 four years old, 2 five-years old, 1 six-years old, and one 12 years old with Kelly Shipley.

 
19 CSR 30-61.025 Organization and Administration
Not Observed
19 CSR 30-61.045 Initial Licensing Information
Not Observed
19 CSR 30-61.055 License Renewal
Not Observed
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Not Observed
19 CSR 30-61.086 Fire Safety
Not Observed
19 CSR 30-61.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-61.095 Furniture, Equipment and Materials
Not Observed
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
Not Observed
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
Not Observed
19 CSR 30-61.155 Overlap Care of Children
Not Observed
19 CSR 30-61.165 Emergency School Closings
Not Observed
19 CSR 30-61.175 Child Care Program
Not Observed
19 CSR 30-61.185 Health Care
Compliance
19 CSR 30-61.190 Nutrition and Food Service
Not Observed
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Compliance
19 CSR 30-63.040 Background Screening Findings
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed