DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

LAWSON, ELIZABETH NAOMI

002672371

(417) 440-9829

1503 S JEFFERSON AVE
AURORA
MO  65605-2117

HOSTETTER, ELIZABETH NAOMI



 

HOSTETTER, ELIZABETH NAOMI

bubbas_01@hotmail.com


ANGEL DONSON

BIRTH - 15 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

10/13/2022

2:07 PM

3:24 PM

UNANNOUNCED

CLOSE SUPERVISION

2433039240


DocumentDocument-Date
FIRE/SAFETY INSPECTION 09/09/2021
SANITATION INSPECTION 12/13/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/22/2021
EQUIPMENT LIST 12/22/2021
ANNUAL DECLARATION 12/21/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/16/2019
SAMPLE WEEKLY MENU 11/27/2019
POLICIES 11/27/2019
SAFE SLEEP POLICY 11/27/2019
APPLICATION 07/19/2019
DAILY SCHEDULE 07/22/2019
DIAGRAM/INDOOR 10/16/2019
DIAGRAM/OUTDOOR 10/16/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 10/16/2019
CHILD CARE/DISCIPLINE POLICIES 07/23/2019
ASSISTANT APPROVAL REQUEST 12/03/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:30AM   12:00PM   12/7/2021
  3:30PM   4:30PM   12/7/2021
  7:00AM   7:30AM   12/7/2021



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 9
StaffChildClass AgeNote
1 9 MIXED Caregiver S.G. with nine children. Five children are under age 2 years old. one child is 2 years old and three children are 3-4 years old.

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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by a one year old child was napping in a pack and play placed in the bathroom used for toileting and a spaced not approved for children's napping.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
Violation
Hazardous items as follows were accessible to children: alcoholic beverages. The item(s) was/were located the small refrigerator (not locked) in the play yard.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by bug repellant was within children's reach.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
Violation
Food and water dishes used by animals were accessible to children as evidenced by food and water dishes used by animals were placed within children's reach.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (4) (F) states: Food and water dishes used by animals shall not be accessible to the children.
Correction Required
Food and water dishes used by animals shall not be accessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
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
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by five children under age two and four children over age two were cared for by one caregiver(s).
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).
Correction Required
Staff/child ratios shall be maintained at all times.

Correction Verification
Return Inspection

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (A) 6 states: If children are napped with no caregiver in the room, the door to the room cannot be closed.
Correction Required
A caregiver shall supervise napping children.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
5 CSR 25-400.185 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one child(ren).
Licensing Rule Reference
5 CSR 25-400.185 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
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
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child did not have an enrollment form.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
10/13/2022
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