MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
KEITH, CANDICE

Facility DVN
001655114

Phone
(417) 845-5437

Physical Address
514 PARK ST
ANDERSON
MO 64831-9280

Owner
KEITH, CANDICE

Mailing Address
PO BOX 734
ANDERSON
MO 64831-0734

Provider/Director
KEITH, CANDICE

E-mail Address
CANDIEKEITH@YAHOO.COM

Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
BIRTH - 12 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
10/19/2022

Arrival Time
2:00 AM

Departure Time
2:58 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2433437269

Document	Document-Date
FIRE/SAFETY INSPECTION	01/10/2022
EQUIPMENT LIST	02/28/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/28/2022
ANNUAL DECLARATION	02/28/2022
POLICIES	04/01/2002
SAMPLE FORMS	04/01/2002
ASSISTANT REFERENCES	11/28/2006
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/23/2013
CHILD CARE/DISCIPLINE POLICIES	04/01/2002
SAMPLE WEEKLY MENU	02/04/2020
DAILY SCHEDULE	03/29/2002
DIAGRAM/OUTDOOR	12/13/2001
DIAGRAM/INDOOR	12/13/2001
ASSISTANT APPROVAL REQUEST	01/03/2014
APPLICATION	02/04/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:40PM	4:40PM	1/19/2012
6:30AM	7:30AM	1/19/2012

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 5

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Provider C.K. with six children. One child is age 1 year old, two children are age 2 years old and three children are ages 3-4 years old.


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 Violation
5 CSR 25-400.086 Fire Safety Violation
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
5 CSR 25-400.115 Child Care Family and Household Compliance
5 CSR 25-400.125 Medical Examination Reports Violation
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 Violation
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