MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
MAXWELL, ROBERTA CATHERINE

Facility DVN
001869867

Phone
(417) 529-7570

Physical Address
106 CAMBRIDGE ST
CARL JUNCTION
MO 64834-9116

Owner
MAXWELL, ROBERTA CATHERINE

Mailing Address

Provider/Director
MAXWELL, ROBERTA CATHERINE

E-mail Address
cathymaxwell52@yahoo.com

Incorporated

Child Care Specialist
LEAH WHITE

Age Range
3 MONTHS - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; 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 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

Date
11/05/2021

Arrival Time
2:29 PM

Departure Time
2:50 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2411956374

Document	Document-Date
FIRE/SAFETY INSPECTION	08/03/2021
SAMPLE WEEKLY MENU	10/04/2012
POLICIES	09/04/2008
OWNER/PROVIDER REFERENCES	08/27/2004
DIAGRAM/OUTDOOR	10/04/2012
DIAGRAM/INDOOR	10/04/2004
DAILY SCHEDULE	10/04/2004
CHILD CARE/DISCIPLINE POLICIES	09/04/2008
ASSISTANT REFERENCES	08/17/2012
ASSISTANT APPROVAL REQUEST	08/09/2016
APPLICATION	08/10/2018
EQUIPMENT LIST	10/26/2021
SANITATION INSPECTION	08/06/2021
ANNUAL DECLARATION	10/26/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:30PM	8/10/2018

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 9

Staff	Child	Class Age	Note
1	9	MIXED	One infant 3 months, two twos, and 6 preschool children. The oldest in this group is six.


5 CSR 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Not Observed
5 CSR 25-400.055 Annual Requirements Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Not Observed
5 CSR 25-400.086 Fire Safety Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Not Observed
5 CSR 25-400.115 Day Care Family and Household Not Observed
5 CSR 25-400.125 Medical Examination Reports Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Compliance
5 CSR 25-400.145 Nighttime Care Not Observed
5 CSR 25-400.155 Overlap Care of Children Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Not Observed
5 CSR 25-400.185 Health Care Not Observed
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Not Observed
5 CSR 25-400.210 Records and Reports Not Observed
5 CSR 25-600.020 Background Screening Findings Not Observed
5 CSR 25-600.040 General Requirements Not Observed
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. Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance