DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

SISSY & ME DAYCARE

002835623

(660) 727-2888

352 N CLEVELAND ST
KAHOKA
MO  63445-1307

BOURGEOIS, LATISHA MARIE



 

BOURGEOIS, LATISHA MARIE

love-bug-90@hotmail.com


CHRISTINA BRUCE

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

06/21/2021

11:40 AM

12:16 PM

UNANNOUNCED

REINSPECTION

2402754571


DocumentDocument-Date
APPLICATION 05/21/2020
ASSISTANT APPROVAL REQUEST 06/16/2020
CHILD CARE/DISCIPLINE POLICIES 05/29/2020
DAILY SCHEDULE 05/29/2020
DIAGRAM/INDOOR 07/30/2018
DIAGRAM/OUTDOOR 07/30/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/13/2020
EQUIPMENT LIST 05/14/2021
POLICIES 05/29/2020
SAFE SLEEP POLICY 05/29/2020
SANITATION INSPECTION 06/17/2020
REGISTERING FICTITIOUS NAMES 06/04/2020
SAMPLE WEEKLY MENU 06/28/2018
FIRE/SAFETY INSPECTION 03/29/2021
ANNUAL DECLARATION 05/14/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/14/2021
SAFETY PLAN 05/14/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:15AM   11:45AM   6/24/2020
  3:00PM   4:30PM   6/24/2020



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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
StaffChildClass AgeNote
1 5 MIXED Staff: LaTisha Bourgeois. Age range 23 months through 4 years. Two children under 2 years of age. Brent Bourgeois was in the room watching television with the children.

 
19 CSR 30-61.025 Organization and Administration
Not Observed
19 CSR 30-61.045 Licensing Process
Not Observed
19 CSR 30-61.055 Annual Requirements
Violation
 Provider Comments
Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
6/21/2021
Violation
The Family Care Safety Registry check was not conducted for Nichole Birkey (Per written statement and conversation with LaTisha during inspetion on 6-21-21, Nichole Birkey is currently not working and will not return to work until the appropriate background screening is completed) within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
6/21/2021
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by an 8 month old infant was asleep in a room that was designated as a closet in the diagram found in the file.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Return Inspection

Compliance Date
6/21/2021
Violation
The premises were not safe and suitable as evidenced by two round swings outside on the swing set do not have enough room to swing without hitting the poles or other play equipment (CCFS Duckworth observed swings have been removed from play yard during reinspection on 6-21-21).
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
6/21/2021
19 CSR 30-61.086 Fire Safety
Not Observed
19 CSR 30-61.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that CCFS Duckworth observed a 8 month old child sleeping in a plush infant reclining seat.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 A states: A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.
Correction Required
The facility shall provide approved sleeping equipment as required.

Correction Verification
Return Inspection

Compliance Date
6/21/2021
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel
Not Observed
19 CSR 30-61.115 Day Care Family and Household
Not Observed
19 CSR 30-61.125 Medical Examination Reports
Not Observed
19 CSR 30-61.135 Admission Policies and Procedures
Violation
 Provider Comments
Violation
The facility's written policies were not implemented as evidenced by an 8 month old infant was asleep in a plush infant reclining seat, with a blanket, in a room with the door closed that was designated as a closet on the diagram found in the file .
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.

Correction Verification
Return Inspection

Compliance Date
6/21/2021
19 CSR 30-61.145 Nighttime Care
Not Observed
19 CSR 30-61.155 Overlap Care of Children
Not Observed
19 CSR 30-61.165 Emergency School Closings
Not Observed
19 CSR 30-61.175 Child Care Program
Violation
 Provider Comments
Violation
Infants and toddlers did not have constant care and supervision as evidenced by CCFS Duckworth observed an 8 month old child sleeping in a room with the door closed.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (D) 1 states: Infants and toddlers shall have constant care and supervision.
Correction Required
Infants/toddlers shall receive constant care and supervision as required.

Correction Verification
Return Inspection

Compliance Date
6/21/2021
Violation
Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 6 states: If children are napped with no caregiver in the room, the door to the room cannot be closed.
Correction Required
A caregiver shall supervise napping children.

Correction Verification
Return Inspection

Compliance Date
6/21/2021
19 CSR 30-61.185 Health Care
Not Observed
19 CSR 30-61.190 Nutrition and Food Service
Not Observed
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Not Observed
19 CSR 30-63.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Brent Bourgeois. Mr. Bourgeois comes to the facility to eat lunch on occasion and was at the inspection watching television with the children as CCFS Duckworth was talking to LaTisha Bourgeois.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-63.040 Background Screening Findings
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance