DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

POTTS, PATRICIA ANN

000194963

(573) 642-9587

810 E SAINT EUNICE RD
FULTON
MO  65251-2447

POTTS, PATRICIA ANN



 

POTTS, PATRICIA ANN



JIM PARSLEY

24 MONTHS - 12 YEARS

10

FAMILY HOME

 
Inspection Information

07/14/2021

9:45 AM

11:31 AM

UNANNOUNCED

COMPLIANCE MONITORING

2405175807


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/20/2018
ASSISTANT REFERENCES 12/30/1985
ANNUAL DECLARATION 07/14/2021
OWNER/PROVIDER REFERENCES 12/30/1985
LICENSING ORIENTATION 12/30/1985
POLICIES 12/30/1985
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/14/2021
ASSISTANT APPROVAL REQUEST 04/20/2010
SAMPLE WEEKLY MENU 12/30/1985
DAILY SCHEDULE 08/04/1986
CHILD CARE/DISCIPLINE POLICIES 05/05/1992
DIAGRAM/OUTDOOR 12/30/1985
DIAGRAM/INDOOR 09/24/1985
FIRE/SAFETY INSPECTION 04/07/2021
SANITATION INSPECTION 04/12/2021
EQUIPMENT LIST 05/10/2018
APPLICATION 01/20/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   4:30PM   7/28/2010
  6:30AM   7:30AM   7/28/2010



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 There were five children, three preschool 5 year olds and two 7 and 9 year olds respectively, in care being supervised by Patricia Potts.

 
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
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved as evidenced by the mulch was too thin under the swings and bare soil was visible. A photo of the new mulch may be submitted when it is installed .
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 6. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Patty Potts (8 hrs).
Licensing Rule Reference
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
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