DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BLANKENSHIP, TAMMY MISHELL

001988612

(573) 793-2006

838 W HIGHWAY 42
IBERIA
MO  65486-9330

BLANKENSHIP, TAMMY MISHELL

PO BOX 143
IBERIA
MO  65486-0143

BLANKENSHIP, TAMMY MISHELL

blankenship07@windstream.net


LACEY BERENDZEN

BIRTH - 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

03/14/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2443011393


DocumentDocument-Date
APPLICATION 10/22/2020
DAILY SCHEDULE 11/04/2020
SAMPLE WEEKLY MENU 11/04/2020
SAFE SLEEP POLICY 01/12/2021
SAMPLE FORMS 01/12/2021
POLICIES 01/28/2021
CHILD CARE/DISCIPLINE POLICIES 01/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/29/2021
DIAGRAM/INDOOR 01/29/2021
DIAGRAM/OUTDOOR 01/29/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 02/05/2021
LICENSING ORIENTATION 10/22/2020
FIRE/SAFETY INSPECTION 10/24/2022
EQUIPMENT LIST 01/27/2023
SANITATION INSPECTION 01/17/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/27/2023
ANNUAL DECLARATION 01/27/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:30PM   4:30PM   3/17/2021



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.

 
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
Compliance
5 CSR 25-400.086 Fire Safety
Violation
 Provider Comments
Violation
A portable electrical space heater was observed in use in the main child care room, plugged in and in use, it was plugged in underneath the thermostat.
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
Submit Documentation

Compliance Date
2/9/2023
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/9/2023
Violation
1 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/9/2023
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