MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BUCKLES AND BOWS PRESCHOOL, LLC

Facility DVN
002428215

Phone
(573) 445-1679

Physical Address
1906 ROSE DR
COLUMBIA
MO 65202-3230

Owner
BUCKLES AND BOWS PRESCHOOL, LLC

Mailing Address

Provider/Director
BREECE, TAMARA MARIE

E-mail Address
tammybreece75@yahoo.com

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

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
10/27/2022

Arrival Time
10:20 AM

Departure Time
11:16 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2434010786

Document	Document-Date
CERTIFICATE OF GOOD STANDING	10/18/2013
LLC ARTICLES OF ORGANIZATION	10/18/2013
SAMPLE WEEKLY MENU	07/19/2011
OWNER/PROVIDER REFERENCES	08/23/2011
CHILD CARE/DISCIPLINE POLICIES	07/19/2011
POLICIES	07/19/2011
DIAGRAM/INDOOR	08/02/2013
DIAGRAM/OUTDOOR	08/02/2013
DAILY SCHEDULE	07/19/2011
ASSISTANT APPROVAL REQUEST	07/19/2011
ASSISTANT REFERENCES	07/19/2011
SAFE SLEEP POLICY	10/13/2013
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/18/2013
APPLICATION	07/02/2019
LICENSING ORIENTATION	07/19/2011
SAMPLE FORMS	07/19/2011
EQUIPMENT LIST	09/06/2022
FIRE/SAFETY INSPECTION	07/20/2021
SANITATION INSPECTION	06/24/2022
ANNUAL DECLARATION	09/06/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/06/2022
LLC OPERATING AGREEMENT	10/18/2013
SAFETY PLAN	09/08/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:00PM	10/7/2021
7:00AM	7:45AM	10/7/2021

Inspection determined facility to be in compliance with 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 2

Total Children 8

Staff	Child	Class Age	Note
2	8	MIXED	CH was the staff with the children. During the inspection, TB, arrived to the facility. The children ranged in age from 11 months to 4 years.

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

Violation

	Provider Comments
Violation The annual fire safety inspection was not conducted. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification Submit Documentation Compliance Date

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