DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BRUCKERHOFF, SHEILA

000176527

(573) 486-3203

156 STATE HIGHWAY 19
HERMANN
MO  65041

BRUCKERHOFF, SHEILA



 

BRUCKERHOFF, SHEILA

shebruck@gmail.com


LAUREN R RAYWARNKE

6 WEEKS - 11 YEARS

10

FAMILY HOME

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

01/12/2023

10:15 AM

11:39 AM

UNANNOUNCED

COMPLIANCE MONITORING

2438900403


DocumentDocument-Date
POLICIES 11/18/2009
SAMPLE WEEKLY MENU 03/15/1984
DIAGRAM/OUTDOOR 06/10/2010
DIAGRAM/INDOOR 11/30/2009
DAILY SCHEDULE 02/28/1994
CHILD CARE/DISCIPLINE POLICIES 11/18/2009
ASSISTANT APPROVAL REQUEST 11/12/2015
ASSISTANT REFERENCES 01/25/2016
OWNER/PROVIDER REFERENCES 06/29/1982
APPLICATION 10/31/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/20/2012
SAFE SLEEP POLICY 01/25/2016
SANITATION INSPECTION 10/19/2022
FIRE/SAFETY INSPECTION 12/20/2022
EQUIPMENT LIST 01/12/2023
ANNUAL DECLARATION 01/12/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/12/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  12:00PM   1:00PM   11/10/1998
  3:30PM   4:30PM   11/10/1998



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 10
StaffChildClass AgeNote
1 10 MIXED S.B. with 10 children, one child 5 months old, one child age 1, three children age 2, three children age 3, one child age 4 and one child age 5.

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 Family Care Safety Registry check was not conducted for S.B., J.G. and T.B. within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

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
Violation
 Provider Comments
Violation
Clock hour training records were not recorded in the MOPD Registry for the following staff: J.G..
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (E) 2. states: All clock hour training records shall be recorded in the Missouri Professional Development Registry (MOPD Registry) at www.OPENInitiative.org. A summary of training from the MOPD System will serve as documentation of training hours completed.
Correction Required
Required training hours shall be documented for each employee on the MOPD Registry.

Correction Verification
Submit Documentation

Compliance Date

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