MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
NICHOLSEN, BRITTANY

Facility DVN
002725984

Phone
(402) 926-6530

Physical Address
307 S CAMDEN ST
RICHMOND
MO 64085-1657

Owner
NICHOLSEN, BRITTANY RENAY

Mailing Address

Provider/Director
NICHOLSEN, BRITTANY RENAY

E-mail Address
BRHANS0503@GMAIL.COM

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
BIRTH - 5 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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
03/15/2023

Arrival Time
11:06 AM

Departure Time
11:44 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2443151677

Document	Document-Date
SAFE SLEEP POLICY	03/05/2020
APPLICATION	04/26/2018
DIAGRAM/INDOOR	04/30/2018
FIRE/SAFETY INSPECTION	07/11/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/05/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	06/05/2019
DIAGRAM/OUTDOOR	06/05/2019
EQUIPMENT LIST	09/12/2022
ASSISTANT REFERENCES	06/20/2019
DAILY SCHEDULE	06/13/2019
POLICIES	06/13/2019
CHILD CARE/DISCIPLINE POLICIES	06/13/2019
OWNER/PROVIDER REFERENCES	06/13/2019
SAMPLE WEEKLY MENU	06/13/2019
SANITATION INSPECTION	06/07/2022
ASSISTANT APPROVAL REQUEST	08/20/2019
ANNUAL DECLARATION	09/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/12/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:00PM	4:00PM	6/5/2019

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 8

Staff	Child	Class Age	Note
2	8	MIXED	17 months-7 years * 7 year old on spring break. Brittany Nicholson and Ashley Carey, staff


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 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 Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Not Observed
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 Not Observed
5 CSR 25-600.020 General Requirements Compliance
5 CSR 25-600.040 Background Screening Findings Not Observed
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