DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
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Facility Information

DAHLMAN, LISA MARIE

001407016

(660) 627-1038

416 N FLORENCE
KIRKSVILLE
MO  63501-0

DAHLMAN, LISA MARIE



 

DAHLMAN, LISA MARIE

jldahlman5@gmail.com


BETHANY C DUCKWORTH

BIRTH - 10 YEARS

10

FAMILY HOME

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

04/08/2022

9:15 AM

9:48 AM

UNANNOUNCED

COMPLIANCE MONITORING

2421291416


DocumentDocument-Date
SAMPLE WEEKLY MENU 10/13/1999
POLICIES 10/13/1999
OWNER/PROVIDER REFERENCES 11/10/1999
DIAGRAM/OUTDOOR 10/13/1999
DIAGRAM/INDOOR 10/13/1999
DAILY SCHEDULE 10/13/1999
CHILD CARE/DISCIPLINE POLICIES 10/13/1999
ASSISTANT REFERENCES 08/05/2010
ASSISTANT APPROVAL REQUEST 02/05/2016
FIRE/SAFETY INSPECTION 01/10/2022
SANITATION INSPECTION 12/15/2021
APPLICATION 01/15/2020
EQUIPMENT LIST 03/09/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/01/2011
SAFE SLEEP POLICY 01/01/2016
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/09/2022
ANNUAL DECLARATION 03/09/2022




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 6
StaffChildClass AgeNote
1 6 MIXED Staff: Lisa Dahlman. Age range 11 months through 5 years. Two children under 2 years of age.

 
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
Compliance
5 CSR 25-400.086 Fire Safety
Violation
 Provider Comments
Violation
The requirements for protective outlet covers were not met as evidenced by 2 outlets were missing protective covers.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 11 (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.
Correction Required
The facility shall use protective outlet covers as required.

Correction Verification
Corrected on Site

Compliance Date
4/8/2022
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