DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BURKHART, PHILLIS JEAN

000700030

(417) 257-0133

4103 US HIGHWAY 160
WEST PLAINS
MO  65775-7652

BURKHART, PHILLIS JEAN



 

BURKHART, PHILLIS JEAN

misternova70@gmail.com


THERESA BINKLEY

BIRTH - 13 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

06/02/2022

10:40 AM

12:25 PM

UNANNOUNCED

COMPLIANCE MONITORING

2424572829


DocumentDocument-Date
ASSISTANT REFERENCES 03/26/2013
ASSISTANT APPROVAL REQUEST 02/28/2013
CHILD CARE/DISCIPLINE POLICIES 03/21/2005
DAILY SCHEDULE 05/31/2005
OWNER/PROVIDER REFERENCES 04/05/1995
POLICIES 03/21/2005
SAMPLE WEEKLY MENU 03/22/1995
DIAGRAM/INDOOR 04/10/2015
DIAGRAM/OUTDOOR 04/10/2015
SAFE SLEEP POLICY 05/05/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/05/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 04/21/2020
FIRE/SAFETY INSPECTION 02/02/2021
ANNUAL DECLARATION 06/02/2022
EQUIPMENT LIST 06/02/2022
SANITATION INSPECTION 05/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/02/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:45AM   1:45PM   10/5/2017



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 3
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
StaffChildClass AgeNote
1 8 MIXED Phillis Burkhart Eight children. Two children age 1 years old, Three children age 3 years old, One child is 4 years old, One child is 6 years old and One child is 8 years old.

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
 Provider Comments
Violation
The facility has not met the requirements for fire and safety as evidenced by not having a current fire inspection for the families home Anniversary Inspection.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.
Correction Required
The facility shall comply with fire and safety requirements.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The provider did not conduct a Family Care Safety Registry screening for Phillis Burkhart and Alan Burkhart, who was hired on 1/1/1987.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
Safe sleep training was not completed within the past 3 years for the assistant(s), Alan Burkhart.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The child care provider and assistant(s) shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

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 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
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