DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
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Facility Information

BLAUVELT, WHITNEY ANN

002793615

(573) 808-5709

93 VOSHOLL LN
BONNOTS MILL
MO  65016-2262

BLAUVELT, WHITNEY ANN



 

BLAUVELT, WHITNEY ANN

whitney-23@live.com


LAUREN R RAYWARNKE

BIRTH - 10 YEARS

10

FAMILY HOME

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

01/11/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2415730689


DocumentDocument-Date
ANNUAL DECLARATION 10/06/2021
APPLICATION 08/15/2019
CHILD CARE/DISCIPLINE POLICIES 09/30/2019
DAILY SCHEDULE 09/30/2019
DIAGRAM/INDOOR 10/09/2019
DIAGRAM/OUTDOOR 10/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/08/2019
EQUIPMENT LIST 10/06/2021
POLICIES 09/30/2019
SAFE SLEEP POLICY 10/08/2019
SAMPLE WEEKLY MENU 10/28/2019
ASSISTANT APPROVAL REQUEST 09/10/2019
FIRE/SAFETY INSPECTION 01/10/2022
SANITATION INSPECTION 08/04/2021
LICENSING ORIENTATION 08/30/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/06/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:00PM   12/5/2019
  6:30AM   7:00AM   12/5/2019



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.

 
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Violation
 Provider Comments
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
1/11/2022
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