DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BOWEN, OLIVE

001465856

(417) 855-0477

700 ASH ST
WILLOW SPRINGS
MO  65793-3445

BOWEN, OLIVE

5919 COUNTY ROAD 4870
POMONA
MO  65789-9428

BOWEN, OLIVE

OLIVE.BOWEN57@GMAIL.COM


ELAINE S COX

BIRTH - 12 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

07/29/2022

1:30 PM

1:44 PM

UNANNOUNCED

REINSPECTION

2427982111


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 06/29/2020
ASSISTANT REFERENCES 10/18/2013
SAMPLE WEEKLY MENU 06/15/2000
POLICIES 06/15/2000
DIAGRAM/OUTDOOR 07/28/2000
DIAGRAM/INDOOR 07/28/2000
DAILY SCHEDULE 07/28/2000
ASSISTANT APPROVAL REQUEST 09/22/2014
OWNER/PROVIDER REFERENCES 05/12/2010
CHILD CARE/DISCIPLINE POLICIES 06/15/2000
SAFE SLEEP POLICY 05/27/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/06/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/13/2022
ANNUAL DECLARATION 05/13/2022
FIRE/SAFETY INSPECTION 05/10/2022
SANITATION INSPECTION 04/05/2022
EQUIPMENT LIST 05/13/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:05PM   5:05PM   8/15/2016



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 7
StaffChildClass AgeNote
1 7 MIXED Olive Bowen with 7 children ages 3 months to 7 years-old. 1 child under age 2 years.

 
5 CSR 25-400.025 Organization and Administration
Not Observed
5 CSR 25-400.045 Licensing Process
Not Observed
5 CSR 25-400.055 Annual Requirements
Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by bare ground in the fall zones of all three slide/climbers.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 9. states: Concrete, asphalt, carpet or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
7/29/2022
5 CSR 25-400.086 Fire Safety
Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, faded pink slide, in the play yard was not in good condition as evidenced by crack in the plastic slide seat creating a pinching hazard.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Submit Documentation

Compliance Date
7/29/2022
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
Not Observed
5 CSR 25-400.125 Medical Examination Reports
Not Observed
5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
5 CSR 25-400.145 Nighttime Care
Not Observed
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
Not Observed
5 CSR 25-400.185 Health Care
Not Observed
5 CSR 25-400.190 Nutrition and Food Service
Not Observed
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance