DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

MJS CHILDCARE LLC

001684440

(314) 420-9421

4220 W PAGE BLVD
ST LOUIS
MO  63113-3140

MJS CHILDCARE LLC



 

JACKSON, YVONNE MARIE

yvonnejackson1017@gmail.com


VIKTORIA ZABARA

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

06/01/2023

1:43 PM

1:43 PM

UNANNOUNCED

SUPPLEMENTAL

2448581577


DocumentDocument-Date
DAILY SCHEDULE 01/07/2020
SAMPLE WEEKLY MENU 05/21/2020
CHILD CARE/DISCIPLINE POLICIES 05/21/2020
POLICIES 01/07/2020
APPLICATION 06/27/2021
DIAGRAM/INDOOR 01/07/2020
DIAGRAM/OUTDOOR 01/07/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/28/2021
LLC ARTICLES OF ORGANIZATION 04/11/2020
SAFETY PLAN 05/21/2020
LLC OPERATING AGREEMENT 07/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/19/2021
LICENSING ORIENTATION 08/23/2021
SAFE SLEEP POLICY 08/23/2021
SANITATION INSPECTION 05/18/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 05/26/2022
FIRE/SAFETY INSPECTION 05/26/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-400.025 Organization and Administration
Not Observed
5 CSR 25-400.045 Licensing Process
Not Observed
5 CSR 25-400.055 Annual Requirements
Violation
 Provider Comments
Violation
The listing of household members and assistants did not include all assistants as evidenced by the document submitted on 12.01. 2022 is not legible.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).
Correction Required
The child care provider shall submit a listing of all household members and assistants.

Correction Verification
Submit Documentation

Compliance Date

Violation
The listing of household members and assistants did not include all household members as evidenced by the document submitted on 12.01. 2022 is not legible.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).
Correction Required
The child care provider shall submit a listing of all household members and assistants.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Annual Declaration was not completed as evidenced by the provider did not accurately complete the application as the ownership is incorrect and it is missing the LLC members.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules;
Correction Required
The child care provider shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility is owned by a legal entity and evidence of good standing was not available.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (D) states: Documentation as required by the Missouri Secretary of State and state law to verify the legal entity is in good standing, if a family child care home is owned by a legal entity.
Correction Required
The child care provider shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Not Observed
5 CSR 25-400.086 Fire Safety
Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for child care as evidenced by there was no plan available.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.095 Furniture, Equipment and Materials
Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Not Observed
5 CSR 25-400.115 Child Care Family and Household
Not Observed
5 CSR 25-400.125 Medical Examination Reports
Not Observed
5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
5 CSR 25-400.145 Nighttime Care
Not Observed
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
Not Observed
5 CSR 25-400.185 Health Care
Not Observed
5 CSR 25-400.190 Nutrition and Food Service
Not Observed
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance