DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

CHESNUT, BETTY LOUISE

000032217

(573) 635-6131

3618 OLD SHAMROCK RD
JEFFERSON CITY
MO  65101-9390

CHESNUT, BETTY LOUISE



 

CHESNUT, BETTY LOUISE

bessalu40@yahoo.com


LAUREN R RAYWARNKE

6 WEEKS - 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 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; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

07/20/2022

8:45 AM

10:11 AM

UNANNOUNCED

COMPLIANCE MONITORING

2427309326


DocumentDocument-Date
OWNER/PROVIDER REFERENCES 07/08/1991
SAMPLE WEEKLY MENU 07/03/1991
SAMPLE FORMS 07/03/1991
POLICIES 07/03/1991
DAILY SCHEDULE 07/03/1991
CHILD CARE/DISCIPLINE POLICIES 07/03/1991
DIAGRAM/OUTDOOR 07/03/1991
DIAGRAM/INDOOR 07/03/1991
ASSISTANT APPROVAL REQUEST 04/17/2013
APPLICATION 05/03/2019
EQUIPMENT LIST 07/20/2022
ANNUAL DECLARATION 07/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/20/2022
SANITATION INSPECTION 04/01/2022
FIRE/SAFETY INSPECTION 04/27/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:00PM   4/12/2011
  6:00AM   6:30AM   4/12/2011



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 1
Total Children 7
StaffChildClass AgeNote
1 7 MIXED Betty Chesnut with 7 children, one child 8 months old, two children age 2, two children age 4, one child age 5 and one child age 8.

 
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Violation
 Provider Comments
Violation
The listing of household members and assistants was not submitted.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).
Correction Required
The child care provider shall submit a listing of all household members and assistants.

Correction Verification
Corrected on Site

Compliance Date
7/20/2022
Violation
The Annual Declaration was not completed as evidenced by the provider had to complete an annual declaration form during the inspection.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules;
Correction Required
The child care provider shall submit the Annual Declaration as required.

Correction Verification
Corrected on Site

Compliance Date
7/20/2022
Violation
The Family Care Safety Registry check was not conducted for Thresa Chesnut, Betty Chesnut and Wayne Chesnut 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
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 1 item(s) in this category.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 2 (C) 1 D states: Cloth or plastic-coated books.
Correction Required
The facility shall provide approved equipment as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 1 child did not have (Betty Chesnut) authorized for emergency medical care on the back side of the child's enrollment form.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
7/20/2022
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