MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ANDREWS, JULIE MAE

Facility DVN
000472868

Phone
(573) 690-1029

Physical Address
12034 HIATTE LN
HOLTS SUMMIT
MO 65043-1712

Owner
ANDREWS, JULIE MAE

Mailing Address

Provider/Director
ANDREWS, JULIE MAE

E-mail Address
JULIE.ANDREWS@HOTMAIL.COM

Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
BIRTH - 6 YEARS

Capacity
9

Facility Type
FAMILY HOME

Limitations
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; UP TO 9 CHILDREN, NO MORE THAN 2 UNDER AGE 2 WITH 1 CAREGIVER; UP TO 9 CHILDREN, NO MORE THAN 4 UNDER AGE 2 WITH 2 CAREGIVERS

Inspection Information

Date
10/30/2023

Arrival Time
10:45 AM

Departure Time
11:26 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2457671803

Document	Document-Date
DAILY SCHEDULE	06/24/1992
SAMPLE WEEKLY MENU	06/24/1992
POLICIES	07/16/1992
ASSISTANT REFERENCES	08/06/1992
OWNER/PROVIDER REFERENCES	06/29/1992
APPLICATION	04/26/2019
ASSISTANT APPROVAL REQUEST	08/06/1992
CHILD CARE/DISCIPLINE POLICIES	08/06/1992
DIAGRAM/INDOOR	08/06/1992
DIAGRAM/OUTDOOR	08/06/1992
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/26/2019
LICENSING ORIENTATION	08/06/1992
SAMPLE FORMS	08/06/1992
SAFETY PLAN	04/26/2019
SAFE SLEEP POLICY	03/04/2021
SANITATION INSPECTION	01/26/2023
FIRE/SAFETY INSPECTION	02/27/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/27/2023
EQUIPMENT LIST	02/27/2023
ANNUAL DECLARATION	02/27/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:30PM	8/21/1995

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 5

Staff	Child	Class Age	Note
1	5	MIXED	children ages two to five; Julie Andrews

Compliance List
5 CSR 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Compliance
5 CSR 25-400.055 Annual Requirements Not Observed
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 Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Not Observed
5 CSR 25-400.145 Nighttime Care Compliance
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 Compliance
5 CSR 25-400.185 Health Care Compliance
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Compliance
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