MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BURKE, LESA

Facility DVN
000836331

Phone
(660) 890-4930

Physical Address
1101 S 8TH
CLINTON
MO 64735

Owner
BURKE, LESA

Mailing Address

Provider/Director
BURKE, LESA

E-mail Address
dlburke021@gmail.com

Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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

Date
10/23/2023

Arrival Time
9:30 AM

Departure Time
10:20 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2457189076

Document	Document-Date
ASSISTANT REFERENCES	06/13/2011
OWNER/PROVIDER REFERENCES	09/28/1996
SAMPLE WEEKLY MENU	09/24/2004
DAILY SCHEDULE	07/28/2003
CHILD CARE/DISCIPLINE POLICIES	08/02/2004
DIAGRAM/OUTDOOR	09/04/2006
DIAGRAM/INDOOR	09/04/2006
ASSISTANT APPROVAL REQUEST	06/12/2014
APPLICATION	08/17/2020
SANITATION INSPECTION	08/09/2023
EQUIPMENT LIST	10/23/2023
FIRE/SAFETY INSPECTION	08/14/2023
ANNUAL DECLARATION	10/23/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/23/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	6/11/2012

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 1

Staff	Child	Class Age	Note
1	1	INFANTS AND TODDLERS	Lesa Burke with one child age 20 months old.


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 Compliance
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