DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

CANCIENNE, SHANNON MARIA

002020959

(636) 464-2691

5512 LEHIGH LN
IMPERIAL
MO  63052-1718

CANCIENNE, SHANNON MARIA



 

CANCIENNE, SHANNON MARIA

shancan7@gmail.com


BRITTANY HECHT

6 WEEKS - 12 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

08/12/2020

1:00 PM

1:47 PM

ANNOUNCED

SUPPLEMENTAL

2384251104


DocumentDocument-Date
SAMPLE WEEKLY MENU 03/04/2009
SAMPLE FORMS 03/04/2009
POLICIES 03/04/2009
OWNER/PROVIDER REFERENCES 03/04/2009
LOCAL FIRE DEPARTMENT NOTIFICATION 03/04/2009
DIAGRAM/OUTDOOR 03/04/2009
DIAGRAM/INDOOR 03/04/2009
DAILY SCHEDULE 03/04/2009
CHILD CARE/DISCIPLINE POLICIES 03/04/2009
ASSISTANT REFERENCES 03/24/2015
ASSISTANT APPROVAL REQUEST 03/24/2015
APPLICATION 01/31/2019
EQUIPMENT LIST 02/01/2019
FIRE/SAFETY INSPECTION 12/13/2018
SANITATION INSPECTION 12/27/2019
SAFE SLEEP POLICY 02/01/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/01/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:45PM   12/14/2010



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 8
StaffChildClass AgeNote
2 8 MIXED Caregivers, Shannon Cancienne & Elizabeth Stevens 1 - 3 Month Old 1 - 12 Month Old 4 - 2 Year Olds 2 - 4-5 Year Olds

 
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
Violation
 Provider Comments
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that near the hole in the fence the bottom panel moves freely and was not secure.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the bolts at the small exit gate need to have bolt covers put on them.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 8 inches. The gap is located at the small exit gate.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inches at the base of the fence on the right side of the Outdoor Area.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification
Submit Documentation

Compliance Date
1/29/2020
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by rebar sticking out of the foundation of the home near the small exit gate and deck .
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
1/29/2020
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by a bolt was sticking out of a railroad tie.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
19 CSR 30-61.086 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
8/12/2020
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
8/12/2020
Violation
The house numbers were not plainly visible from the street.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (F) states: The house numbers shall be plainly visible from the street in case of emergency.
Correction Required
House numbers shall be plainly visible from the street.

Correction Verification
Submit Documentation

Compliance Date
1/28/2020
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check for Morgan Cancienne prior to their employment or presence in a family child care home.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
1/17/2020
Violation
The provider did not meet requirements for a criminal background check. Results were missing for the following child care staff member(s): Shannon Cancienne, Elizabeth Stevens, & Morgan Cancienne.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
1/17/2020
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Shannon Cancienne needs 9 Hours for 2019 & Elizabeth Stevens needs 10 Hours for 2019.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant working more than five (5) hours per week shall meet the same training requirements. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
Verification of safe sleep training was not documented and maintained as evidenced by Elizabeth Stevens Safe Sleep was expired in 2019.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (5) (A) states: The training shall be documented and maintained as described in paragraph (4)(E)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.115 Day Care Family and Household
Not Observed
19 CSR 30-61.125 Medical Examination Reports
Not Observed
19 CSR 30-61.135 Admission Policies and Procedures
Not Observed
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren).
Licensing Rule Reference
19 CSR 30-61.185 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/12/2020
19 CSR 30-61.190 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider failed to serve nourishing foods appropriate for Infant as specified by parents as evidenced by the Infant & Toddler Feeding & Care Plan was not on file.
Licensing Rule Reference
19 CSR 30-61.190 Nutrition and Food Service 2 (A) states: The provider shall serve nourishing foods appropriate for the infant's individual nutritional requirements and developmental stages as specified by his/her parent(s).
Correction Required
The provider shall serve nourishing foods as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Not Observed
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