DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

HOLYCROSS, LEONA

002299490

(417) 926-8544

801 E DORRIS AVE
MOUNTAIN GROVE
MO  65711-1822

HOLYCROSS, LEONA



 

HOLYCROSS, LEONA

blholycross@hotmail.com


ELAINE S COX

6 WEEKS - 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 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

10/06/2020

10:15 AM

11:25 AM

UNANNOUNCED

COMPLIANCE MONITORING

2386500450


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/23/2020
EQUIPMENT LIST 10/06/2020
ANNUAL DECLARATION 09/23/2020
SANITATION INSPECTION 08/27/2020
DAILY SCHEDULE 11/09/2016
DIAGRAM/INDOOR 11/09/2016
DIAGRAM/OUTDOOR 11/09/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 10/22/2016
SAMPLE WEEKLY MENU 11/09/2016
POLICIES 11/09/2016
ASSISTANT APPROVAL REQUEST 11/16/2016
ASSISTANT REFERENCES 11/18/2016
OWNER/PROVIDER REFERENCES 11/15/2016
CHILD CARE/DISCIPLINE POLICIES 10/12/2016
SAFE SLEEP POLICY 11/18/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/23/2017
FIRE/SAFETY INSPECTION 06/30/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:30PM   4:30PM   9/14/2018



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 11
StaffChildClass AgeNote
2 11 MIXED 2 under 2 years, Stacey Reese- approved assistant onsite. 3 year old grandson. At 11:17 AM the 12th child arrived

 
19 CSR 30-61.025 Organization and Administration
Compliance
19 CSR 30-61.045 Initial Licensing Information
Violation
 Provider Comments
Violation
The number of children was/were exceeded as evidenced by 11 children were in care, provider and approved assistant, at 11:17 AM the 12th child arrived for care.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information (2) (T) states: The number and ages of children a family day care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the specifications on the license.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-61.055 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Leona Holycross, Brian Holycross, Twila Bradshaw, and Stacey Reese within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The facility's disaster plan did not include location of emergency supplies.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) 1 states: The location of the child's attendance record and emergency information and emergency supplies.
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's disaster plan did not include location of emergency information.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) 1 states: The location of the child's attendance record and emergency information and emergency supplies.
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's disaster plan did not include the location of child's attendance record.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) 1 states: The location of the child's attendance record and emergency information and emergency supplies.
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/24/20.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 Background Screening Findings
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