MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
COOPER, LISA KAY

Facility DVN

Phone
(417) 532-6827

Physical Address
332 VAN BUREN ST
LEBANON
MO 65536-2853

Owner
COOPER, LISA KAY

Mailing Address

Provider/Director
COOPER, LISA KAY

E-mail Address
abcteetertoddlers@gmail.com

Incorporated

Child Care Specialist
ALISON MICHELE EVANS

Age Range
BIRTH - 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; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 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

Inspection Information

Date
12/20/2021

Arrival Time
10:00 AM

Departure Time
10:56 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2414971904

Document	Document-Date
SAFE SLEEP POLICY	06/08/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	06/08/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/08/2021
SAFETY PLAN	06/08/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/08/2021
ANNUAL DECLARATION	06/08/2021
OWNER/PROVIDER REFERENCES	04/08/1999
DAILY SCHEDULE	03/17/1999
POLICIES	03/17/1999
SAMPLE WEEKLY MENU	03/17/1999
SAMPLE FORMS	03/17/1999
DIAGRAM/OUTDOOR	04/04/1999
DIAGRAM/INDOOR	04/04/2009
CHILD CARE/DISCIPLINE POLICIES	03/17/1999
ASSISTANT APPROVAL REQUEST	03/12/2013
EQUIPMENT LIST	05/24/2021
APPLICATION	04/01/2019
FIRE/SAFETY INSPECTION	03/30/2021
SANITATION INSPECTION	02/10/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	8/30/2018

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 8

Staff	Child	Class Age	Note
1	8	MIXED	Lisa Cooper with 8 children which 1 was under age 2.


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