MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SHRAMEK, STACY JO

Facility DVN
001887310

Phone
(573) 470-3341

Physical Address
1009 RINGO ST
MEXICO
MO 65265-1163

Owner
SHRAMEK, STACY JO

Mailing Address

Provider/Director
SHRAMEK, STACY JO

E-mail Address
Stacyshramek03@gmail.com

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
BIRTH - 12 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

Inspection Information

Date
12/10/2021

Arrival Time
8:35 AM

Departure Time
9:20 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2414139526

Document	Document-Date
ASSISTANT REFERENCES	04/23/2010
DAILY SCHEDULE	04/20/2010
SAMPLE WEEKLY MENU	04/20/2010
POLICIES	04/20/2010
CHILD CARE/DISCIPLINE POLICIES	04/20/2010
DIAGRAM/OUTDOOR	04/20/2010
DIAGRAM/INDOOR	04/20/2010
OWNER/PROVIDER REFERENCES	04/20/2010
ASSISTANT APPROVAL REQUEST	04/23/2010
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/19/2019
SAFE SLEEP POLICY	03/13/2019
APPLICATION	03/19/2020
FIRE/SAFETY INSPECTION	03/11/2021
SANITATION INSPECTION	03/26/2021
EQUIPMENT LIST	04/29/2021
ANNUAL DECLARATION	04/29/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/29/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:20PM	4:35PM	10/29/2018
7:45AM	8:30AM	10/29/2018

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Stacy Shramek was the caregiver with the children. Children range in age from 4 months to 2 years with 2 children under 2 years of age.


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 Compliance
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