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


BETHANY C DUCKWORTH

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

09/17/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2408504541


DocumentDocument-Date
FIRE/SAFETY INSPECTION 06/23/2021
SAMPLE WEEKLY MENU 06/28/2018
REGISTERING FICTITIOUS NAMES 06/04/2020
SANITATION INSPECTION 07/13/2021
SAFE SLEEP POLICY 05/29/2020
POLICIES 05/29/2020
EQUIPMENT LIST 05/14/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/13/2020
DIAGRAM/OUTDOOR 07/30/2018
DIAGRAM/INDOOR 07/30/2018
DAILY SCHEDULE 05/29/2020
CHILD CARE/DISCIPLINE POLICIES 05/29/2020
ASSISTANT APPROVAL REQUEST 06/16/2020
APPLICATION 05/21/2020
SAFETY PLAN 05/14/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/14/2021
ANNUAL DECLARATION 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: 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
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
9/17/2021
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
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
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
9/3/2021
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