DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

SHAPES & COLORS

001660877

(314) 429-0221

4417 BILOXI AVE
BERKELEY
MO  63134-3413

HICKS, YOLANDA SHERILL



 

HICKS, YOLANDA SHERILL

yolandahicks33@yahoo.com


KATHERINE D SIMS

6 WEEKS - 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

06/16/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2449265540


DocumentDocument-Date
SAMPLE WEEKLY MENU 10/07/2002
SAMPLE FORMS 10/07/2002
DAILY SCHEDULE 10/07/2002
CHILD CARE/DISCIPLINE POLICIES 10/07/2002
ASSISTANT APPROVAL REQUEST 09/01/2010
DIAGRAM/OUTDOOR 07/13/2010
DIAGRAM/INDOOR 07/13/2010
REGISTERING FICTITIOUS NAMES 08/02/2016
POLICIES 10/07/2002
APPLICATION 08/16/2018
SAFE SLEEP POLICY 08/16/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/19/2018
SANITATION INSPECTION 08/01/2022
FIRE/SAFETY INSPECTION 07/13/2022
EQUIPMENT LIST 09/30/2022
ANNUAL DECLARATION 09/30/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/30/2022

Overlap Start TimeOverlap End TimeOverlap Submit Date
  6:30AM   8:30AM   12/11/2019



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.

 
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
The provider did not provide resilient material necessary for the protection of children as evidenced by there is mulch under the swing set, grass and over growth are coming through the mulch. More mulch needs to be added.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 7. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

Correction Verification
Submit Documentation

Compliance Date
6/16/2023
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