MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CRUTCHER, JANET ELIZABETH

Facility DVN
001649854

Phone
(660) 263-9336

Physical Address
321 S 4TH ST
MOBERLY
MO 65270-3425

Owner
CRUTCHER, JANET ELIZABETH

Mailing Address

Provider/Director
CRUTCHER, JANET ELIZABETH

E-mail Address
jecrutcher@msn.com

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
BIRTH - 13 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
12/28/2021

Arrival Time
9:40 AM

Departure Time
10:55 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2415005456

Document	Document-Date
DIAGRAM/OUTDOOR	06/05/2002
DIAGRAM/INDOOR	12/12/2001
CHILD CARE/DISCIPLINE POLICIES	01/17/2002
SAMPLE WEEKLY MENU	12/03/2001
DAILY SCHEDULE	12/03/2001
POLICIES	01/17/2002
APPLICATION	02/23/2020
SANITATION INSPECTION	04/28/2021
EQUIPMENT LIST	03/01/2021
FIRE/SAFETY INSPECTION	03/10/2021
ANNUAL DECLARATION	03/01/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/31/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
10:00AM	12:00PM	4/18/2019

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 3

Staff	Child	Class Age	Note
1	3	MIXED	1- three year old child, 1- Seven year old child, 1- 22 months old, Janet Crutcher


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