DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

MULLEN, KASSANDRA KAY

002764432

(573) 418-7580

1008 CEDAR ST
CALIFORNIA
MO  65018-5407

MULLEN, KASSANDRA KAY



 

MULLEN, KASSANDRA KAY

katiemullen84@gmail.com


LACEY BERENDZEN

BIRTH - 10 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

03/02/2023

10:20 AM

12:13 PM

UNANNOUNCED

COMPLIANCE MONITORING

2442309924


DocumentDocument-Date
DIAGRAM/INDOOR 07/20/2020
DIAGRAM/OUTDOOR 07/20/2020
SAMPLE WEEKLY MENU 07/21/2020
APPLICATION 07/20/2020
CHILD CARE/DISCIPLINE POLICIES 07/20/2020
DAILY SCHEDULE 07/21/2020
SAFE SLEEP POLICY 07/21/2020
POLICIES 07/20/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 07/15/2020
SAMPLE FORMS 07/15/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/07/2020
ASSISTANT APPROVAL REQUEST 12/17/2020
EQUIPMENT LIST 09/15/2022
FIRE/SAFETY INSPECTION 09/28/2022
SANITATION INSPECTION 05/10/2022
ANNUAL DECLARATION 09/15/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/15/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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
StaffChildClass AgeNote
1 7 MIXED Kassandra Mullen (Katie Bax) with 7 children. One child is 3 months old (13 weeks), one child is 3 years old, four children are 4 years old, and one child is 5 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
Violation
 Provider Comments
Violation
Animal excrement was observed in an indoor area used by children; the location of the excrement was in the back room that is used for childcare, there was animal feces on the floor next to a playpen.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (4) (D) states: Areas used by children shall be free of animal excrement.
Correction Required
No animal excrement shall be in areas used by children.

Correction Verification
Corrected on Site

Compliance Date
3/2/2023
Violation
The swimming/wading pool was accessible to children as evidenced by there was no fence.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (B) 3. states: Swimming and wading pools shall be fenced to prevent access by children. For family day care homes initially licensed after the effective date of these rules, the fence shall be at least forty-two inches (42") high and shall have a locked gate. Above-the ground pools may use a forty-two inch (42") fence around the top of the pool with barricades of the steps to the pool deck.
Correction Required
Swimming and wading pools shall be inaccessible to children as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.086 Fire Safety
Violation
 Provider Comments
Violation
A portable electrical space heater was observed in use in the dining room where children eat and play, it was in use. Compliance Inspector unplugged the space heater.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 12 (A) states: Unvented fuel-fired room heaters and portable electrical space heaters shall not be used during child care hours. The provider shall sign a compliance letter verifying that such equipment will not be used.
Correction Required
Space heaters/floor furnaces shall not be used.

Correction Verification
Corrected on Site

Compliance Date
3/2/2023
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by gaps were observed between the matress/pad and side of the crib or playpen.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Corrected on Site

Compliance Date
3/2/2023
Violation
Outdoor equipment, large plastic climber with slide and swing, in the back part of the playground space was not in good condition as evidenced by the steps have been repaired with duct tape, the duct tape is in poor condition exposing the sharp plastic of the broken steps underneath.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Submit Documentation

Compliance Date
1/11/2023
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Kassandra Mullens needs 11 hours.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

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
Violation
 Provider Comments
Violation
One serving of fluid milk was not served with each meal.
Licensing Rule Reference
5 CSR 25-400.190 Nutrition and Food Service 1 (E) states: One (1) serving of fluid milk shall be served with each meal.
Correction Required
Milk shall be served as required.

Correction Verification
Submit Documentation

Compliance Date

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