MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
FAMILYFORWARD

Facility DVN
002651170

Phone
(314) 534-9350

Physical Address
3309 S KINGSHIGHWAY BLVD
ST LOUIS
MO 63139-1101

Owner
THE CHILDREN'S HOME SOCIETY OF MISSOURI

Mailing Address

Provider/Director
BLEVENS, JENNIFER MARIE

E-mail Address
jennifer.blevens@familyforwardmo.org

Incorporated
Incorporated

Child Care Specialist
MICHELLE A WILLIAMS

Age Range
35 MONTHS - 5 YEARS

Capacity
19

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
01/20/2021

Arrival Time
12:00 PM

Departure Time
12:37 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2391688415

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	03/28/2017
CERTIFICATE OF GOOD STANDING	03/28/2017
FIRE/SAFETY INSPECTION	06/10/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	07/07/2017
REGISTERING FICTITIOUS NAMES	03/31/2017
ARTICLES OF INCORPORATION	03/20/2017
CHILD CARE PRACTICES	06/30/2017
DISCIPLINE POLICIES	06/29/2017
POLICIES	06/30/2017
SAMPLE WEEKLY MENU	06/29/2017
DAILY SCHEDULE	06/30/2017
JOB RESPONSIBILITIES	06/30/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/30/2017
SAMPLE FORMS	06/30/2017
DIAGRAM/INDOOR	07/21/2017
DIAGRAM/OUTDOOR	07/21/2017
DIRECTOR'S QUALIFICATIONS	06/16/2017
APPLICATION	05/07/2019
STAFF SHEET	03/15/2019
EQUIPMENT LIST	03/15/2019
SANITATION INSPECTION	03/26/2020
LOCAL BUILDING APPROVAL	06/27/2018
LOCAL ZONING APPROVAL	03/11/2019

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 5

Total Children 6

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Nicole Marsh (Asst Director)
2	3	PRESCHOOL	Breanna Douglas, Rachel Pratt (Ages 4-5)
2	3	PRESCHOOL	Jeremy Boal, Tahirah Allar (Ages 4-5)


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 Annual Requirements Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.087 Fire Safety Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.142 Nighttime Care Compliance
19 CSR 30-62.152 Hourly Care Facilities Compliance
19 CSR 30-62.162 Overlap Care of Children Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 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