DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

HERNANDEZ, INES TRINIDAD

001928310

(573) 442-4416

3100 FOX TROT DR
COLUMBIA
MO  65202-1482

HERNANDEZ, INES TRINIDAD



 

HERNANDEZ, INES TRINIDAD

ABIGSCRUB@YAHOO.COM


CYNTHIA D MADDOX

BIRTH - 12 YEARS

10

FAMILY HOME

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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

02/28/2022

11:30 AM

11:42 AM

UNANNOUNCED

REINSPECTION

2418693351


DocumentDocument-Date
CHILD CARE/DISCIPLINE POLICIES 08/17/2005
POLICIES 08/17/2008
OWNER/PROVIDER REFERENCES 09/06/2005
SAMPLE FORMS 07/05/2001
SAMPLE WEEKLY MENU 08/17/2005
DAILY SCHEDULE 09/28/2008
DIAGRAM/OUTDOOR 08/17/2005
DIAGRAM/INDOOR 08/17/2005
ARTICLES OF INCORPORATION 08/17/2005
ASSISTANT APPROVAL REQUEST 09/30/2015
ASSISTANT REFERENCES 09/30/2015
APPLICATION 08/05/2019
FIRE/SAFETY INSPECTION 09/14/2020
SANITATION INSPECTION 08/16/2021
ANNUAL DECLARATION 11/24/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/24/2021
EQUIPMENT LIST 11/30/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:50PM   4:50PM   8/4/2010
  7:00AM   8:00AM   3/8/2010



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 3
Total Children 9
StaffChildClass AgeNote
3 9 MIXED Ines Hernandez, Christian Robinson and Justin Robinson were the caregivers with the children. Children range in age from 14 months through 3 years of age with 4 children under 2 years of age.

 
5 CSR 25-400.025 Organization and Administration
Not Observed
5 CSR 25-400.045 Licensing Process
Not Observed
5 CSR 25-400.055 Annual Requirements
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (B) states: A current list of available equipment.
Correction Required
The child care provider shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Ines Hernandez, Christian Robinson, Charles Robinson and Justin Robinson within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Not Observed
5 CSR 25-400.086 Fire Safety
Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials
Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Not Observed
5 CSR 25-400.115 Day Care Family and Household
Not Observed
5 CSR 25-400.125 Medical Examination Reports
Not Observed
5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
5 CSR 25-400.145 Nighttime Care
Not Observed
5 CSR 25-400.155 Overlap Care of Children
Not Observed
5 CSR 25-400.165 Emergency School Closings
Not Observed
5 CSR 25-400.175 Child Care Program
Not Observed
5 CSR 25-400.185 Health Care
Not Observed
5 CSR 25-400.190 Nutrition and Food Service
Not Observed
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Not Observed
5 CSR 25-600.020 Background Screening Findings
Not Observed
5 CSR 25-600.040 General Requirements
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance