MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
KELSEY'S CUDDLE HOUSE

Facility DVN
002715388

Phone
(573) 517-8259

Physical Address
1004 STAR ST
PERRYVILLE
MO 63775-1660

Owner
MEYER, KELSEY LOUISE

Mailing Address

Provider/Director
MEYER, KELSEY LOUISE

E-mail Address
jaykelmeyer@yahoo.com

Incorporated

Child Care Specialist
JESSICA SPENCER

Age Range
BIRTH - 12 YEARS

Capacity
28

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
10/21/2021

Arrival Time
10:12 AM

Departure Time
1:25 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2411519635

Document	Document-Date
APPLICATION	08/13/2019
CHILD CARE PRACTICES	08/30/2019
DAILY SCHEDULE	08/30/2019
DIAGRAM/INDOOR	09/17/2019
DIAGRAM/OUTDOOR	09/17/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/17/2019
DISCIPLINE POLICIES	09/17/2019
EQUIPMENT LIST	10/21/2021
FIRE/SAFETY INSPECTION	07/28/2021
JOB RESPONSIBILITIES	08/30/2019
LINES OF ADMINISTRATIVE AUTHORITY	09/17/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	09/17/2019
LOCAL ZONING APPROVAL	09/17/2019
POLICIES	08/30/2019
REGISTERING FICTITIOUS NAMES	09/17/2019
SAFE SLEEP POLICY	08/30/2019
SAMPLE WEEKLY MENU	09/17/2019
SANITATION INSPECTION	08/03/2021
STAFF SHEET	09/17/2019
ANNUAL DECLARATION	10/21/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/21/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	9/17/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

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 4

Total Children 25

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Caregivers: Kelsey Meyer and Shelly Clifton with seven children ages four months to twenty-one months.
1	10	MIXED	Caregiver, Michelle Schumer with one child two years of age, five children three years of age and four children four years of age.
1	8	MIXED	Caregiver, Jennifer Birk-Cook with four children two years of age and four children three years of age.


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.087 Fire Safety Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
5 CSR 25-500.132 Admission Policies and Procedures Compliance
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.152 Hourly Care Facilities Compliance
5 CSR 25-500.162 Overlap Care of Children Compliance
5 CSR 25-500.172 Emergency School Closings Compliance
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Violation
5 CSR 25-500.202 Nutrition and Food Service Compliance
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Compliance
5 CSR 25-600.020 General Requirements Violation
5 CSR 25-600.040 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