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


TIFFANY KING

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

06/08/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2448766710


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: 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
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
6/8/2023
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
6/1/2023
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