MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
NICHOLSEN, BRITTANY

Facility DVN
002725984

Phone
(402) 926-6530

Physical Address
307 S CAMDEN ST
RICHMOND
MO 64085-1657

Owner
NICHOLSEN, BRITTANY RENAY

Mailing Address

Provider/Director
NICHOLSEN, BRITTANY RENAY

E-mail Address
BRHANS0503@GMAIL.COM

Incorporated

Child Care Specialist
CRYSTAL HEISER

Age Range
BIRTH - 5 YEARS

Capacity
10

Facility Type
FAMILY HOME

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

Inspection Information

Date
10/20/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2411056688

Document	Document-Date
SAFE SLEEP POLICY	06/22/2018
APPLICATION	04/26/2018
DIAGRAM/INDOOR	04/30/2018
FIRE/SAFETY INSPECTION	07/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/05/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	06/05/2019
DIAGRAM/OUTDOOR	06/05/2019
EQUIPMENT LIST	10/04/2021
ASSISTANT REFERENCES	06/20/2019
DAILY SCHEDULE	06/13/2019
POLICIES	06/13/2019
CHILD CARE/DISCIPLINE POLICIES	06/13/2019
OWNER/PROVIDER REFERENCES	06/13/2019
SAMPLE WEEKLY MENU	06/13/2019
SANITATION INSPECTION	06/01/2021
ASSISTANT APPROVAL REQUEST	08/20/2019
ANNUAL DECLARATION	09/27/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/04/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:00PM	4:00PM	6/5/2019

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.

5 CSR 25-400.025 Organization and Administration

Compliance

5 CSR 25-400.045 Licensing Process

Compliance

5 CSR 25-400.055 Annual Requirements

Compliance

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation

	Provider Comments
Violation The floors located in the play room was/were not clean as evidenced by stains and dirt. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification Submit Documentation Compliance Date 10/20/2021

5 CSR 25-400.086 Fire Safety

Compliance

5 CSR 25-400.090 Disaster and Emergency Preparedness

Compliance

5 CSR 25-400.095 Furniture, Equipment and Materials

Compliance

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Compliance

5 CSR 25-400.115 Day Care Family and Household

Compliance

5 CSR 25-400.125 Medical Examination Reports

Compliance

5 CSR 25-400.135 Admission Policies and Procedures

Compliance

5 CSR 25-400.145 Nighttime Care

Compliance

5 CSR 25-400.155 Overlap Care of Children

Compliance

5 CSR 25-400.165 Emergency School Closings

Compliance

5 CSR 25-400.175 Child Care Program

Compliance

5 CSR 25-400.185 Health Care

Compliance

5 CSR 25-400.190 Nutrition and Food Service

Compliance

5 CSR 25-400.200 Transportation and Field Trips

Compliance

5 CSR 25-400.210 Records and Reports

Compliance

5 CSR 25-600.020 Background Screening Findings

Compliance

5 CSR 25-600.040 General Requirements

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