DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

GREEN, CHRISTINA MICHELLE

002397517

(641) 780-6213

15880 US HIGHWAY 136
MEMPHIS
MO  63555-4154

GREEN, CHRISTINA MICHELLE



 

GREEN, CHRISTINA MICHELLE

chrissygreen354@gmail.com


BETHANY C DUCKWORTH

BIRTH - 14 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

08/06/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2405846910


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/15/2021
ANNUAL DECLARATION 06/15/2021
APPLICATION 04/22/2019
ASSISTANT APPROVAL REQUEST 05/15/2019
CHILD CARE/DISCIPLINE POLICIES 05/13/2019
DAILY SCHEDULE 05/13/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/13/2019
EQUIPMENT LIST 06/15/2021
DIAGRAM/INDOOR 12/18/2013
DIAGRAM/OUTDOOR 05/16/2019
POLICIES 05/13/2019
SAMPLE WEEKLY MENU 04/22/2019
ASSISTANT REFERENCES 07/01/2019
FIRE/SAFETY INSPECTION 05/10/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 05/30/2019
OWNER/PROVIDER REFERENCES 06/29/2019
SAFE SLEEP POLICY 05/29/2019
SANITATION INSPECTION 03/11/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   8/16/2019



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 30-61.025 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
Compliance
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
Violation
 Provider Comments
Violation
Outdoor equipment, Little Tykes climber with tube, in outdoor play yard was not in good condition as evidenced by the pink tube between the climbers was broken which could be a pinching hazard and also had a small sharp edge.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Submit Documentation

Compliance Date
8/2/2021
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