DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

KELLY, MARY

000647947

(573) 636-6921

1930 GREEN MEADOW DR
JEFFERSON CITY
MO  65101-2316

KELLY, MARY



 

KELLY, MARY

MEKELLY@MCHSI.COM


LAUREN R RAYWARNKE

BIRTH - 6 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

02/17/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2418177800


DocumentDocument-Date
ANNUAL DECLARATION 12/28/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/28/2021
SAMPLE WEEKLY MENU 08/23/1994
POLICIES 11/17/2000
DIAGRAM/OUTDOOR 08/23/1994
DIAGRAM/INDOOR 08/23/1994
DAILY SCHEDULE 08/23/1994
CHILD CARE/DISCIPLINE POLICIES 11/17/2000
OWNER/PROVIDER REFERENCES 08/29/1994
ASSISTANT APPROVAL REQUEST 10/02/2012
APPLICATION 09/05/2018
EQUIPMENT LIST 12/28/2021
SANITATION INSPECTION 09/24/2021
FIRE/SAFETY INSPECTION 11/09/2021




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
Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: plastic grocery bags and diapers in plastic packaging. The item(s) was/were located on changing table shelf.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date
1/21/2022
Violation
Hazardous items as follows were accessible to children: sharp knives. The item(s) was/were located kitchen drawers under the microwave.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date
1/20/2022
Violation
Hazardous items as follows were accessible to children: Old English cleaning liquid and Barkeeper's Friend Powder. The item(s) was/were located under kitchen sink cabinet that was "locked" by use of loose rubber band.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date
1/20/2022
Violation
Children were not restricted to approved space as evidenced by there is no gate between kitchen and unlicensed space for the rest of the home.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date
2/17/2022
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically missing from bedroom, main room, and kitchen .
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
1/20/2022
Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
1/20/2022
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children.
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
1/20/2022
5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 2 item(s) in this category.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 2 (C) 1 D states: Cloth or plastic-coated books.
Correction Required
The facility shall provide approved equipment as required.

Correction Verification
Submit Documentation

Compliance Date
1/21/2022
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