DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

KEITH, CANDICE

001655114

(417) 845-5437

514 PARK ST
ANDERSON
MO  64831-9280

KEITH, CANDICE

PO BOX 734
ANDERSON
MO  64831-0734

KEITH, CANDICE

CANDIEKEITH@YAHOO.COM


CAYLIN MERTZ

BIRTH - 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

12/08/2023

12:07 PM

12:32 PM

UNANNOUNCED

SUPPLEMENTAL

2460353068


DocumentDocument-Date
ANNUAL DECLARATION 03/15/2023
EQUIPMENT LIST 03/15/2023
CHILD CARE/DISCIPLINE POLICIES 04/01/2002
DAILY SCHEDULE 03/29/2002
DIAGRAM/OUTDOOR 12/13/2001
DIAGRAM/INDOOR 12/13/2001
ASSISTANT APPROVAL REQUEST 01/03/2014
POLICIES 04/01/2002
SAMPLE FORMS 04/01/2002
ASSISTANT REFERENCES 11/28/2006
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/23/2013
SAMPLE WEEKLY MENU 02/04/2020
APPLICATION 02/04/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/15/2023
SANITATION INSPECTION 01/26/2023
FIRE/SAFETY INSPECTION 02/23/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:40PM   4:40PM   1/19/2012
  6:30AM   7:30AM   1/19/2012



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 12
StaffChildClass AgeNote
1 12 MIXED Caregiver Gina Lile with 12 children ages 11 months old to 5 years old; with two children under age 2 years old.

 
5 CSR 25-400.025 Organization and Administration
Not Observed
5 CSR 25-400.045 Licensing Process
Violation
 Provider Comments
Violation
The number of children was/were exceeded as evidenced by twelve children were present at the facility.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the specifications on the license.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-400.055 Annual Requirements
Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Not Observed
5 CSR 25-400.086 Fire Safety
Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The requirements for sleeping materials were not met as evidenced by 1 children 12 months or older was/were sleeping/napping on the floor.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by gaps were observed between the matress/pad and side of the crib or playpen.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Return Inspection

Compliance Date

Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a child age 11 months old in a pack and play with a blanket and pacifier clip.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 E states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Not Observed
5 CSR 25-400.115 Child Care Family and Household
Not Observed
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
Not Observed
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
Not Observed
5 CSR 25-400.185 Health Care
Not Observed
5 CSR 25-400.190 Nutrition and Food Service
Not Observed
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
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