MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
A LITTLE PIOLIN

Facility DVN
002860462

Phone
(913) 710-0339

Physical Address
1115 S COTTAGE ST
INDEPENDENCE
MO 64050-4349

Owner
RAY, CITLALI

Mailing Address

Provider/Director
RAY, CITLALI

E-mail Address
alittlepiolin.fcch@gmail.com

Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
BIRTH - 10 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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

Date
06/29/2022

Arrival Time
9:04 AM

Departure Time
9:48 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2426333499

Document	Document-Date
ANNUAL DECLARATION	06/22/2022
APPLICATION	10/22/2020
DIAGRAM/INDOOR	05/21/2021
FIRE/SAFETY INSPECTION	03/30/2022
DAILY SCHEDULE	05/21/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	05/21/2021
SANITATION INSPECTION	03/14/2022
CHILD CARE/DISCIPLINE POLICIES	07/14/2021
DIAGRAM/OUTDOOR	05/24/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/02/2021
EQUIPMENT LIST	06/22/2022
REGISTERING FICTITIOUS NAMES	11/07/2020
SAFETY PLAN	07/14/2021
POLICIES	07/14/2021
SAFE SLEEP POLICY	07/14/2021
SAMPLE WEEKLY MENU	05/24/2021
LICENSING ORIENTATION	09/20/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/22/2022

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 3

Staff	Child	Class Age	Note
1	3	INFANTS AND TODDLERS	Citlali Ray (provider) present with three children. One child age 10 months and two children age 22 months.

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 Compliance
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 Child 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 Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
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