MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BLAUVELT, WHITNEY ANN

Facility DVN
002793615

Phone
(573) 808-5709

Physical Address
93 VOSHOLL LN
BONNOTS MILL
MO 65016-2262

Owner
BLAUVELT, WHITNEY ANN

Mailing Address

Provider/Director
BLAUVELT, WHITNEY ANN

E-mail Address
whitney-23@live.com

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
BIRTH - 10 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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; 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 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
11/18/2020

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2388089815

Document	Document-Date
ANNUAL DECLARATION	10/14/2020
APPLICATION	08/15/2019
CHILD CARE/DISCIPLINE POLICIES	09/30/2019
DAILY SCHEDULE	09/30/2019
DIAGRAM/INDOOR	10/09/2019
DIAGRAM/OUTDOOR	10/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/08/2019
EQUIPMENT LIST	11/06/2020
POLICIES	09/30/2019
SAFE SLEEP POLICY	10/08/2019
SAMPLE WEEKLY MENU	10/28/2019
ASSISTANT APPROVAL REQUEST	09/10/2019
FIRE/SAFETY INSPECTION	07/08/2020
SANITATION INSPECTION	07/24/2020
LICENSING ORIENTATION	08/30/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/18/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:00PM	12/5/2019
6:30AM	7:00AM	12/5/2019

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 Annual Requirements Violation
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
19 CSR 30-61.095 Furniture, Equipment and Materials Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel Violation
19 CSR 30-61.115 Day Care Family and Household Compliance
19 CSR 30-61.125 Medical Examination Reports Violation
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