DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

PETERSON, KELLY JEAN

002679516

(573) 454-2898

1306 SAINTE GENEVIEVE AVE
FARMINGTON
MO  63640-3442

PETERSON, KELLY JEAN



 

PETERSON, KELLY JEAN

kjp_051970@yahoo.com


JESSICA SPENCER

24 MONTHS - 12 YEARS

32

GROUP HOME AND CENTER

 
Inspection Information

05/03/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2399015303


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/21/2021
ANNUAL DECLARATION 01/21/2021
POLICIES 01/04/2018
LOCAL ZONING APPROVAL 01/04/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 01/04/2018
CHILD CARE PRACTICES 01/04/2018
DAILY SCHEDULE 01/04/2018
DIAGRAM/INDOOR 01/04/2018
JOB RESPONSIBILITIES 01/04/2018
SAMPLE WEEKLY MENU 01/04/2018
LOCAL BUILDING APPROVAL 01/04/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/04/2018
LINES OF ADMINISTRATIVE AUTHORITY 01/04/2018
DISCIPLINE POLICIES 01/04/2018
DIAGRAM/OUTDOOR 01/04/2018
DIRECTOR'S QUALIFICATIONS 01/04/2018
SAMPLE FORMS 01/02/2018
OWNER/PROVIDER REFERENCES 01/22/2018
APPLICATION 11/13/2019
STAFF SHEET 11/13/2019
EQUIPMENT LIST 01/21/2021
FIRE/SAFETY INSPECTION 10/22/2020
SANITATION INSPECTION 10/19/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   1/9/2019



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 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
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
Violation
 Provider Comments
Violation
The ceilings located near the restroom was/were not in good condition as evidenced by there were water stains from a leak.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/27/2021
Violation
The walls located near the kitchen was/were not finished with material which can be cleaned easily as evidenced by the paint was chipped exposing the sheetrock.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/27/2021
Violation
The walls located in the bathroom was/were not finished with material which can be cleaned easily as evidenced by the paint was chipped exposing the sheetrock.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/20/2021
Violation
The walls located near the restroom was/were not in good condition as evidenced by the sheetrock was cracked from the water leak.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/20/2021
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
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