MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BURKHART, PHILLIS JEAN

Facility DVN
000700030

Phone
(417) 257-0133

Physical Address
4103 US HIGHWAY 160
WEST PLAINS
MO 65775-7652

Owner
BURKHART, PHILLIS JEAN

Mailing Address

Provider/Director
BURKHART, PHILLIS JEAN

E-mail Address
misternova70@gmail.com

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
BIRTH - 13 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
12/19/2023

Arrival Time
10:56 AM

Departure Time
11:49 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2461185442

Document	Document-Date
ASSISTANT REFERENCES	03/26/2013
ASSISTANT APPROVAL REQUEST	02/28/2013
CHILD CARE/DISCIPLINE POLICIES	03/21/2005
DAILY SCHEDULE	05/31/2005
OWNER/PROVIDER REFERENCES	04/05/1995
POLICIES	03/21/2005
SAMPLE WEEKLY MENU	03/22/1995
DIAGRAM/INDOOR	04/10/2015
DIAGRAM/OUTDOOR	04/10/2015
SAFE SLEEP POLICY	05/05/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/05/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	04/21/2020
FIRE/SAFETY INSPECTION	03/01/2023
SANITATION INSPECTION	03/22/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/08/2023
EQUIPMENT LIST	06/08/2023
ANNUAL DECLARATION	06/08/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:45AM	1:45PM	10/5/2017

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 7

Staff	Child	Class Age	Note
1	7	MIXED	Phillis Burkart with 7 children ages 10 months to 4-years-old. This included 2 children under age 24 months. Allen Burkhart also in the home.

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 use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by the potty chair was not emptied. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 2. states: Infants and toddlers. At least one (1) potty chair, junior commode or toilet with an adaptor seat shall be provided. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use. Correction Required The facility shall provide and clean/sanitize potty training equipment as required. Correction Verification Corrected on Site Compliance Date 12/19/2023

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

Not Observed

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

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

Compliance

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