DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

VOYLES, PATRICIA

002066606

(573) 344-5959

726 NICKEY ST
POPLAR BLUFF
MO  63901-6545

VOYLES, PATRICIA

176 WAYNE 543
GREENVILLE
MO  63944-8793

VOYLES, PATRICIA

PATRICIAVOYLES@YAHOO.COM


SARAH L THACKER

6 WEEKS - 12 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

03/10/2023

11:05 AM

12:02 PM

UNANNOUNCED

COMPLIANCE MONITORING

2442801176


DocumentDocument-Date
POLICIES 08/24/2022
SAFE SLEEP POLICY 07/28/2022
EQUIPMENT LIST 07/27/2022
DAILY SCHEDULE 07/27/2022
SAMPLE WEEKLY MENU 07/25/2022
APPLICATION 05/31/2022
LICENSING ORIENTATION 08/07/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/24/2022
DIAGRAM/OUTDOOR 08/24/2022
DIAGRAM/INDOOR 08/24/2022
SANITATION INSPECTION 08/31/2022
FIRE/SAFETY INSPECTION 09/07/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/24/2022
CHILD CARE/DISCIPLINE POLICIES 08/30/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   9/12/2022



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 3
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 12
StaffChildClass AgeNote
1 12 MIXED Caregiver Patricia Voyles with 1 child 6 weeks of age, 1 child 6 months of age, 1 child 16 months of age, 1 child 21 months of age, 5 children 2 years of age, and 3 children ages 3 to 5.

Compliance List
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Violation
 Provider Comments
Violation
The number of children was/were exceeded as evidenced by there were 14 children present during the inspection, 2 of them did not count in ratio.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the specifications on the license.

Correction Verification
Return Inspection

Compliance Date

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
The facility did not provide at least 35 square feet of usable floor space for each child coming into the facility for day care as evidenced by space was reduced by there were 14 children present and only enough space for 11.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (B) 1. states: At least thirty-five (35) square feet of usable floor space shall be provided for each child coming into the home for day care.
Correction Required
The facility shall provide thirty-five square feet of usable space per child.

Correction Verification
Return Inspection

Compliance Date

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
An infant was observed sleeping in a/an swing.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification
Corrected on Site

Compliance Date
3/10/2023
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
5 CSR 25-400.185 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/8/2022
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.
Violation
 Provider Comments
Violation
The family home provider did not provide written notice to parents or guardians that children not counted in the maximum capacity are being cared for.
Licensing Rule Reference
RSMo 210.211.  License required - exceptions - written notice of licensure status, when. 4. states: Up to two children who are five years of age or older and who are related within the third degree of consanguinity or affinity to, adopted by, or under court appointed guardianship or legal custody of a child care provider who is responsible for the daily operation of a licensed family child care home that is organized as a corporation, association, firm, partnership, limited liability company, sole proprietorship, or any other type of business entity in this state shall not be included in the number of children counted toward the maximum number of children for which the family child care home is licensed under section 210.221. If more than one member of the corporation, association, firm, partnership, limited liability company, or other business entity is responsible for the daily operation of the licensed family child care home, then the related children of only one such member shall be excluded. A family child care home caring for children not counted in the maximum number of children, as permitted under this subsection, shall disclose this to parents or guardians on the written notice required under subsection 3 of this section. If a family child care home begins caring for children not counted in the maximum number of children after a parent or guardian has signed the written notice required under subsection 3 of this section, the family child care home shall provide a separate notice to the parent or guardian that the family child care home is caring for children not counted in the maximum number of children for which the family child care home is licensed and shall keep a copy of the signed notice on file.
Correction Required
The family home provider shall provide written notice to parents or guardians as required.

Correction Verification
Return Inspection

Compliance Date

RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance