MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SHAPES & COLORS

Facility DVN
001660877

Phone
(314) 429-0221

Physical Address
4417 BILOXI AVE
BERKELEY
MO 63134-3413

Owner
HICKS, YOLANDA SHERILL

Mailing Address

Provider/Director
HICKS, YOLANDA SHERILL

E-mail Address
yolandahicks33@yahoo.com

Incorporated

Child Care Specialist
KATHERINE D SIMS

Age Range
6 WEEKS - 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
01/27/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2416856780

Document	Document-Date
SAMPLE WEEKLY MENU	10/07/2002
SAMPLE FORMS	10/07/2002
DAILY SCHEDULE	10/07/2002
CHILD CARE/DISCIPLINE POLICIES	10/07/2002
ASSISTANT APPROVAL REQUEST	09/01/2010
DIAGRAM/OUTDOOR	07/13/2010
DIAGRAM/INDOOR	07/13/2010
REGISTERING FICTITIOUS NAMES	08/02/2016
POLICIES	10/07/2002
EQUIPMENT LIST	09/30/2021
APPLICATION	08/16/2018
SAFE SLEEP POLICY	08/16/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/19/2018
SANITATION INSPECTION	07/26/2021
FIRE/SAFETY INSPECTION	07/13/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
6:30AM	8:30AM	12/11/2019

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.