MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
YOAKUM, JESSICA RENAE

Facility DVN
001923968

Phone
(573) 793-2922

Physical Address
500 LOMBAR ST
IBERIA
MO 65486-9106

Owner
YOAKUM, JESSICA RENAE

Mailing Address

Provider/Director
YOAKUM, JESSICA RENAE

E-mail Address
jward7@hotmail.com

Incorporated

Child Care Specialist
LACEY BERENDZEN

Age Range
6 WEEKS - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
11/29/2022

Arrival Time
2:20 PM

Departure Time
2:59 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2436208427

Document	Document-Date
SAMPLE FORMS	05/18/2009
POLICIES	05/18/2009
ASSISTANT REFERENCES	05/18/2000
OWNER/PROVIDER REFERENCES	05/18/2009
ASSISTANT APPROVAL REQUEST	01/14/2013
SAMPLE WEEKLY MENU	05/18/2009
DAILY SCHEDULE	05/18/2009
CHILD CARE/DISCIPLINE POLICIES	05/18/2009
DIAGRAM/OUTDOOR	05/18/2009
DIAGRAM/INDOOR	05/18/2009
APPLICATION	01/25/2019
FIRE/SAFETY INSPECTION	03/09/2022
EQUIPMENT LIST	04/04/2022
ANNUAL DECLARATION	04/04/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/04/2022
SANITATION INSPECTION	02/28/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:20PM	4:20PM	12/19/2014

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 1

Total Children 8

Staff	Child	Class Age	Note
1	8	MIXED	JY with 8 children. One child 10 months, one child 1 year old, three children age 2 years old, and three children 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

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

Violation

	Provider Comments
Violation The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the cloth rocking horse is visibly stained/dirty. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 2 (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children. Correction Required Indoor play equipment, clean and in good repair, shall be accessible to children. Correction Verification Submit Documentation Compliance Date

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