DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

TOTAL FAITH CHILD CARE

002776483

(573) 351-9073

4492 US HIGHWAY 160 E
DONIPHAN
MO  63935-6805

ELLIOTT-MOMAN, ASHLYNN



 

ELLIOTT-MOMAN, ASHLYNN

ashlynnmoman@gmail.com


SARAH L THACKER

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

03/27/2023

9:50 AM

10:25 AM

UNANNOUNCED

COMPLIANCE MONITORING

2443937085


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 10/12/2021
SAMPLE WEEKLY MENU 07/15/2019
EQUIPMENT LIST 10/17/2022
DAILY SCHEDULE 07/15/2019
SAFE SLEEP POLICY 07/08/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/12/2021
CHILD CARE/DISCIPLINE POLICIES 07/15/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/17/2022
POLICIES 10/12/2021
DIAGRAM/INDOOR 10/12/2021
DIAGRAM/OUTDOOR 10/12/2021
APPLICATION 09/21/2021
REGISTERING FICTITIOUS NAMES 10/19/2021
SANITATION INSPECTION 07/06/2022
FIRE/SAFETY INSPECTION 07/11/2022
ANNUAL DECLARATION 10/17/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   11/24/2021



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.
Attendance at Time of Inspection
Total Staff 1
Total Children 11
StaffChildClass AgeNote
1 11 MIXED Provider Ashlynn Moman with 1 child 14 months of age, 1 child 19 months of age, 4 children 2 years of age, and 4 children ages 3 to 6. Ashlynn's 5 year old son was also present but did not count in ratio.

 
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
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
Not Observed
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
Not Observed
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