DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

JANSEN, KIM D

002016400

(573) 897-2813

71 COTE DESSEIN LN
BONNOTS MILL
MO  65016-2338

JANSEN, KIM D



 

JANSEN, KIM D

kimjansen128@gmail.com


LAUREN R RAYWARNKE

BIRTH - 12 YEARS

10

FAMILY HOME

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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

07/13/2021

9:30 AM

10:18 AM

UNANNOUNCED

COMPLIANCE MONITORING

2403945158


DocumentDocument-Date
SAFETY PLAN 12/01/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/01/2020
ANNUAL DECLARATION 12/01/2020
SAMPLE WEEKLY MENU 01/02/2007
ASSISTANT REFERENCES 05/12/2010
POLICIES 01/02/2007
DAILY SCHEDULE 01/02/2007
CHILD CARE/DISCIPLINE POLICIES 01/02/2007
DIAGRAM/OUTDOOR 01/02/2007
DIAGRAM/INDOOR 01/02/2007
APPLICATION 08/16/2018
EQUIPMENT LIST 12/01/2020
FIRE/SAFETY INSPECTION 09/28/2020
SANITATION INSPECTION 09/08/2020
ASSISTANT APPROVAL REQUEST 11/20/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:30PM   9/14/2010
  7:00AM   7:15AM   9/14/2010



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 10
StaffChildClass AgeNote
1 10 MIXED Kim Jansen with 10 children, two children age 1, two children age 2, two children age 3, three children age 4 and one child age 5.

 
19 CSR 30-61.025 Organization and Administration
Compliance
19 CSR 30-61.045 Licensing Process
Compliance
19 CSR 30-61.055 Annual Requirements
Compliance
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Downy Liquid Fabric Softener and X-Tra Odor Blaster . The item(s) was/were located on the floor by the washer machine in a unlocked closet.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
7/13/2021
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 Child Care Provider and Other Child 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