MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
KELLY, MARY

Facility DVN
000647947

Phone
(573) 636-6921

Physical Address
1930 GREEN MEADOW DR
JEFFERSON CITY
MO 65101-2316

Owner
KELLY, MARY

Mailing Address

Provider/Director
KELLY, MARY

E-mail Address
MEKELLY@MCHSI.COM

Incorporated

Child Care Specialist
KAYLA TODARO

Age Range
BIRTH - 6 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
01/12/2021

Arrival Time
10:00 AM

Departure Time
11:08 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2391194855

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/19/2020
ANNUAL DECLARATION	11/19/2020
SAMPLE WEEKLY MENU	08/23/1994
POLICIES	11/17/2000
DIAGRAM/OUTDOOR	08/23/1994
DIAGRAM/INDOOR	08/23/1994
DAILY SCHEDULE	08/23/1994
CHILD CARE/DISCIPLINE POLICIES	11/17/2000
OWNER/PROVIDER REFERENCES	08/29/1994
ASSISTANT APPROVAL REQUEST	10/02/2012
EQUIPMENT LIST	11/19/2020
FIRE/SAFETY INSPECTION	09/09/2020
SANITATION INSPECTION	09/02/2020
APPLICATION	09/05/2018

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 1

Total Children 5

Staff	Child	Class Age	Note
1	5	MIXED	Mary Kelly with 5 children ages 2 and up.


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 Violation
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 Violation
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 Violation
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
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