MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
POTTER, STEPHANIE

Facility DVN
000719137

Phone
(660) 838-6693

Physical Address
13888 OSAGE VALLEY RD
BOONVILLE
MO 65233

Owner
POTTER, STEPHANIE

Mailing Address

Provider/Director
POTTER, STEPHANIE

E-mail Address
SLPOTTER85@YMAIL.COM

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
BIRTH - 14 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
08/26/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2429918105

Document	Document-Date
DIAGRAM/INDOOR	08/14/2003
DIAGRAM/OUTDOOR	06/15/2005
POLICIES	06/19/1998
SAMPLE WEEKLY MENU	05/30/1996
DAILY SCHEDULE	05/30/1996
CHILD CARE/DISCIPLINE POLICIES	05/03/1996
OWNER/PROVIDER REFERENCES	06/26/1995
ASSISTANT REFERENCES	06/12/2009
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/14/2018
SAFE SLEEP POLICY	06/14/2018
ASSISTANT APPROVAL REQUEST	02/24/2012
APPLICATION	05/01/2019
FIRE/SAFETY INSPECTION	07/05/2022
SANITATION INSPECTION	06/27/2022
EQUIPMENT LIST	07/01/2022
ANNUAL DECLARATION	07/01/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/01/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:15PM	6/19/2013
7:00AM	7:30AM	6/19/2013

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.


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
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 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