MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CLAYTON, REBECCA SUE

Facility DVN
002623021

Phone
(660) 728-5055

Physical Address
907 W DAVIS ST
FAYETTE
MO 65248-1073

Owner
CLAYTON, REBECCA SUE

Mailing Address

Provider/Director
CLAYTON, REBECCA SUE

E-mail Address
rsoclayton@yahoo.com

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

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
01/31/2022

Arrival Time
10:45 AM

Departure Time
11:21 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2417032890

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/30/2021
ANNUAL DECLARATION	06/30/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/06/2017
SAFE SLEEP POLICY	05/18/2019
DAILY SCHEDULE	04/06/2017
CHILD CARE/DISCIPLINE POLICIES	04/06/2017
POLICIES	04/06/2017
DIAGRAM/INDOOR	04/06/2017
DIAGRAM/OUTDOOR	04/06/2017
SAMPLE WEEKLY MENU	04/06/2017
SAMPLE FORMS	04/06/2017
ASSISTANT APPROVAL REQUEST	06/15/2017
ASSISTANT REFERENCES	07/13/2017
OWNER/PROVIDER REFERENCES	07/12/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	11/14/2018
SANITATION INSPECTION	04/14/2021
APPLICATION	03/06/2019
EQUIPMENT LIST	06/30/2021
FIRE/SAFETY INSPECTION	04/26/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	8/10/2018

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	Rebecca Clayton , child care provider was present with 8 children ages 2 to 4. Household member present Kevin Clayton