MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FEESE, KYLIE JEAN

Facility DVN
001332696

Phone
(314) 540-3496

Physical Address
409 E EUCLID AVE
SULLIVAN
MO 63080-1715

Owner
FEESE, KYLIE JEAN

Mailing Address

Provider/Director
FEESE, KYLIE JEAN

E-mail Address
jkfeese@yahoo.com

Incorporated

Child Care Specialist
ALLA GERASIMOVA

Age Range
BIRTH - 13 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
12/06/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2436876803

Document	Document-Date
DAILY SCHEDULE	08/11/2003
SAMPLE WEEKLY MENU	04/14/2010
SAFE SLEEP POLICY	09/29/2017
POLICIES	04/17/2020
CHILD CARE/DISCIPLINE POLICIES	04/17/2020
DIAGRAM/INDOOR	09/10/2001
DIAGRAM/OUTDOOR	09/10/2001
ASSISTANT APPROVAL REQUEST	03/18/2020
OWNER/PROVIDER REFERENCES	07/14/1999
APPLICATION	03/06/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/17/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/02/2022
ANNUAL DECLARATION	04/19/2022
SANITATION INSPECTION	02/08/2022
EQUIPMENT LIST	04/19/2022
FIRE/SAFETY INSPECTION	03/02/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	4:30PM	12/27/2013
7:00AM	7:30AM	12/27/2013

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.

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
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