DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

WILLIAMS, TERRI D

000911811

(660) 342-1133

672 W COMMERCIAL
KAHOKA
MO  63445

WILLIAMS, TERRI D



 

WILLIAMS, TERRI D

terriwilliams933@gmail.com


BETHANY C DUCKWORTH

BIRTH - 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

11/18/2020

11:10 AM

11:39 AM

UNANNOUNCED

COMPLIANCE MONITORING

2388166388


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/26/2020
ANNUAL DECLARATION 10/26/2020
ASSISTANT APPROVAL REQUEST 03/03/2017
DAILY SCHEDULE 09/17/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/01/2012
SAFE SLEEP POLICY 01/14/2016
ASSISTANT REFERENCES 04/14/2017
CHILD CARE/DISCIPLINE POLICIES 09/19/2007
OWNER/PROVIDER REFERENCES 06/02/1997
POLICIES 09/19/2007
DIAGRAM/INDOOR 09/20/2007
DIAGRAM/OUTDOOR 09/20/2007
SAMPLE WEEKLY MENU 02/20/1997
APPLICATION 07/31/2019
EQUIPMENT LIST 10/26/2020
FIRE/SAFETY INSPECTION 08/19/2020
SANITATION INSPECTION 09/17/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:00AM   12:00PM   10/11/2018
  2:45PM   3:45PM   10/11/2018



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 11
StaffChildClass AgeNote
1 11 MIXED Staff: Terri Williams Age range 13 months through 5 years. 2 children under 2 years of age. Terri using current overlap for children during inspection.

 
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
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
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
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
Violation
 Provider Comments
Violation
Records were not available for inspection by the department upon request as evidenced by children's files were not available upon request by CCFS during inspection.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports (11) states: All records shall be available in the home for inspection by the department upon request.
Correction Required
All required records shall be kept on file at the facility and accessible at all time.

Correction Verification
Submit Documentation

Compliance Date

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