MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
COOK, MARLENIA

Facility DVN
000262684

Phone
(573) 379-0965

Physical Address
605 E 7TH ST
PORTAGEVILLE
MO 63873

Owner
COOK, MARLENIA

Mailing Address

Provider/Director
COOK, MARLENIA

E-mail Address
marleniacook0@gmail.com

Incorporated

Child Care Specialist
SAMINA C ODLE

Age Range
BIRTH - 11 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
10/04/2022

Arrival Time
12:50 PM

Departure Time
1:16 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2432225894

Document	Document-Date
ANNUAL DECLARATION	02/17/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/17/2022
EQUIPMENT LIST	02/17/2022
FIRE/SAFETY INSPECTION	01/25/2022
DIAGRAM/INDOOR	10/03/2006
DIAGRAM/OUTDOOR	10/03/2006
DAILY SCHEDULE	02/16/2003
POLICIES	02/11/1987
OWNER/PROVIDER REFERENCES	01/31/1987
ASSISTANT REFERENCES	02/02/2011
CHILD CARE/DISCIPLINE POLICIES	02/11/1987
SAMPLE WEEKLY MENU	02/07/1997
ASSISTANT APPROVAL REQUEST	12/12/2016
SAFE SLEEP POLICY	05/07/2016
APPLICATION	01/09/2018
SAFETY PLAN	01/19/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:50AM	12:15PM	12/6/2012
2:00PM	2:15PM	12/6/2012
6:50AM	8:00AM	12/6/2012

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 2

Total Children 8

Staff	Child	Class Age	Note
2	8	MIXED	Caregivers MC and KC with eight children; three of which are 1y/o.


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 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