MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
GRAHAM, CHRISTINE MARIE

Facility DVN
002129977

Phone
(573) 694-9132

Physical Address
62407 VAUGHAN DR
CALIFORNIA
MO 65018-3124

Owner
GRAHAM, CHRISTINE MARIE

Mailing Address

Provider/Director
GRAHAM, CHRISTINE MARIE

E-mail Address
christine.graham918@yahoo.com

Incorporated

Child Care Specialist
SHELBY N KOETTING

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 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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
12/15/2020

Arrival Time
11:00 AM

Departure Time
11:45 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2390088106

Document	Document-Date
ANNUAL DECLARATION	11/16/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/15/2020
ASSISTANT APPROVAL REQUEST	11/28/2011
SAMPLE FORMS	10/18/2011
SAMPLE WEEKLY MENU	10/18/2011
CHILD CARE/DISCIPLINE POLICIES	10/18/2011
DIAGRAM/OUTDOOR	10/18/2011
DIAGRAM/INDOOR	10/18/2011
POLICIES	10/18/2011
DAILY SCHEDULE	10/18/2011
ASSISTANT REFERENCES	04/15/2014
OWNER/PROVIDER REFERENCES	03/26/2009
SANITATION INSPECTION	08/13/2020
APPLICATION	07/31/2019
EQUIPMENT LIST	12/15/2020
FIRE/SAFETY INSPECTION	08/13/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	11/30/2011

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 7

Staff	Child	Class Age	Note
1	7	MIXED	Christine Graham with 7 children (1 under 2 years, 6 preschool).


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 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