DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

CANFIELD, BERDEINA JILL

001807307

(417) 872-7279

1610 E JODY CIR
REPUBLIC
MO  65738-1259

CANFIELD, BERDEINA JILL



 

CANFIELD, BERDEINA JILL

mamajill@hotmail.com


PENNY KREITZER

2 MONTHS - 12 YEARS

6

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

05/31/2023

3:30 PM

3:58 PM

UNANNOUNCED

COMPLIANCE MONITORING

2448260410


DocumentDocument-Date
SAMPLE WEEKLY MENU 09/18/2003
DIAGRAM/OUTDOOR 09/18/2003
DIAGRAM/INDOOR 09/18/2003
DAILY SCHEDULE 10/20/2003
CHILD CARE/DISCIPLINE POLICIES 07/28/2011
OWNER/PROVIDER REFERENCES 09/29/2003
ASSISTANT APPROVAL REQUEST 08/22/2013
ASSISTANT REFERENCES 08/10/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 08/12/2015
APPLICATION 08/14/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/30/2021
FIRE/SAFETY INSPECTION 07/19/2022
EQUIPMENT LIST 08/29/2022
SANITATION INSPECTION 08/12/2022
ANNUAL DECLARATION 08/29/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:45PM   7/28/2011



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 4
StaffChildClass AgeNote
1 4 MIXED Jill Canfield, Caregiver, with 1 three month old child, and 3 two year old children.

 
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
A gun was not locked in a cabinet or a closet as evidenced by it was on the floor of a room not used for childcare. The room had a childproof knob cover.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (K) states: Ammunition, guns, hunting knives, bows and arrows or other weapons shall be stored in a locked cabinet or locked closet.
Correction Required
Weapons and ammunition shall be inaccessible in locked cabinets or closets.

Correction Verification
Submit Documentation

Compliance Date

Violation
The bathroom was not clean and odor free as evidenced by the shower/tub had what appeared to be mold or mildew.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. E. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Submit Documentation

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
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
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