MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SHIVE, SHERRY BETH

Facility DVN
001723362

Phone
(660) 728-1949

Physical Address
715 HILLCREST
GLASGOW
MO 65254

Owner
SHIVE, SHERRY BETH

Mailing Address

Provider/Director
SHIVE, SHERRY BETH

E-mail Address
sherryshivedaycare@att.net

Incorporated

Child Care Specialist
LU A GAINES

Age Range
6 WEEKS - 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
12/01/2022

Arrival Time
10:30 AM

Departure Time
11:03 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2436278590

Document	Document-Date
ASSISTANT APPROVAL REQUEST	03/17/2014
LOCAL FIRE DEPARTMENT NOTIFICATION	12/06/2018
POLICIES	04/28/2008
CHILD CARE/DISCIPLINE POLICIES	04/28/2008
DAILY SCHEDULE	05/06/2008
SAMPLE WEEKLY MENU	04/28/2008
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/12/2012
ASSISTANT REFERENCES	10/11/2013
SAFE SLEEP POLICY	01/22/2016
DIAGRAM/INDOOR	11/21/2017
DIAGRAM/OUTDOOR	06/24/2008
APPLICATION	03/02/2020
SANITATION INSPECTION	03/28/2022
FIRE/SAFETY INSPECTION	03/09/2022
EQUIPMENT LIST	06/02/2022
ANNUAL DECLARATION	06/02/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/02/2022
SAMPLE FORMS	06/27/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:10PM	5:10PM	3/29/2010

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 1

Total Children 7

Staff	Child	Class Age	Note
1	7	MIXED	SS staff present with 7 children. 2 children under 2 years old.


5 CSR 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Not Observed
5 CSR 25-400.055 Annual Requirements Not Observed
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 Not Observed
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 Not Observed
5 CSR 25-400.125 Medical Examination Reports Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Not Observed
5 CSR 25-400.145 Nighttime Care Not Observed
5 CSR 25-400.155 Overlap Care of Children Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Not Observed
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Compliance
5 CSR 25-400.210 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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