MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FAIRHAVEN DAYCARE

Facility DVN
002683967

Phone
(660) 483-1086

Physical Address
220 N WILLOW ST
STANBERRY
MO 64489-1346

Owner
MOFFAT, GENEVA

Mailing Address

Provider/Director
MOFFAT, GENEVA

E-mail Address
GRCREASON@YAHOO.COM

Incorporated

Child Care Specialist
MICHELLE RENEE TRUSSELL

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS; 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

Date
03/04/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2419238787

Document	Document-Date
CHILD CARE/DISCIPLINE POLICIES	12/20/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/06/2017
DIAGRAM/INDOOR	10/06/2017
DIAGRAM/OUTDOOR	10/06/2017
SAFE SLEEP POLICY	10/06/2017
SAMPLE WEEKLY MENU	10/06/2017
POLICIES	10/06/2017
DAILY SCHEDULE	10/06/2017
ASSISTANT APPROVAL REQUEST	12/20/2017
ASSISTANT REFERENCES	12/20/2017
REGISTERING FICTITIOUS NAMES	12/02/2021
OWNER/PROVIDER REFERENCES	12/20/2017
APPLICATION	10/21/2019
SANITATION INSPECTION	09/24/2021
FIRE/SAFETY INSPECTION	09/01/2021
EQUIPMENT LIST	11/01/2021
ANNUAL DECLARATION	11/01/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	1/23/2018

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.

Compliance List
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
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