DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BOTTLES TO BANDITS

002484600

(573) 433-9710

206 W 4TH ST
DIXON
MO  65459-7906

DOBA, TARA MARIE



 

DOBA, TARA MARIE

tmdoba83@icloud.com


ALLA GERASIMOVA

BIRTH - 10 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

09/11/2023

8:50 AM

10:39 AM

UNANNOUNCED

COMPLIANCE MONITORING

2453788830


DocumentDocument-Date
APPLICATION 03/24/2021
CHILD CARE/DISCIPLINE POLICIES 04/19/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 04/01/2021
SAFE SLEEP POLICY 05/17/2021
SAMPLE WEEKLY MENU 05/18/2021
POLICIES 05/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/07/2021
DIAGRAM/INDOOR 06/07/2021
DIAGRAM/OUTDOOR 06/07/2021
DAILY SCHEDULE 06/22/2021
REGISTERING FICTITIOUS NAMES 09/04/2015
SANITATION INSPECTION 07/24/2023
EQUIPMENT LIST 09/07/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/07/2023
ANNUAL DECLARATION 09/07/2023
FIRE/SAFETY INSPECTION 04/06/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 3
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 5
StaffChildClass AgeNote
1 5 MIXED Tara Doba a provider present with five children , including two children 1 year old, two children age 3 years old , and one child age 4 years old.

Compliance List
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 bathroom was not clean and odor free as evidenced by the bathroom had some residue of the urine under the lid.
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
Corrected on Site

Compliance Date
9/11/2023
Violation
A clear glass door was not marked plainly at varying heights as evidenced by the front door was glass and didn't had anything to mark the glass.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 3. states: Clear glass doors shall be marked plainly at varying heights to avoid impact.
Correction Required
Clear glass doors shall be marked as required.

Correction Verification
Corrected on Site

Compliance Date
9/11/2023
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by a chain link fence on the right side , closer to the corner is detached from the horizontal bar on the top and a vertifcal pole, creating an openings that might present entrapment hazards.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: small bolts and screws , fragrance mist. The item(s) was/were located on the counter top of the cabinet in the bathroom .
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
9/11/2023
5 CSR 25-400.086 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the date of the drill was not recorded.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for protective outlet covers were not met as evidenced by one outlet needed an outlet cover.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 11 (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.
Correction Required
The facility shall use protective outlet covers as required.

Correction Verification
Corrected on Site

Compliance Date
9/11/2023
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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