MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BRUCKERHOFF, SHEILA

Facility DVN
000176527

Phone
(573) 486-3203

Physical Address
156 STATE HIGHWAY 19
HERMANN
MO 65041

Owner
BRUCKERHOFF, SHEILA

Mailing Address

Provider/Director
BRUCKERHOFF, SHEILA

E-mail Address
shebruck@gmail.com

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
6 WEEKS - 11 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
01/03/2024

Arrival Time
11:20 AM

Departure Time
12:44 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2461719806

Document	Document-Date
POLICIES	11/18/2009
SAMPLE WEEKLY MENU	03/15/1984
DIAGRAM/OUTDOOR	06/10/2010
DIAGRAM/INDOOR	11/30/2009
DAILY SCHEDULE	02/28/1994
CHILD CARE/DISCIPLINE POLICIES	11/18/2009
ASSISTANT APPROVAL REQUEST	11/12/2015
ASSISTANT REFERENCES	01/25/2016
OWNER/PROVIDER REFERENCES	06/29/1982
APPLICATION	10/31/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/20/2012
SAFE SLEEP POLICY	01/25/2016
SANITATION INSPECTION	08/28/2023
FIRE/SAFETY INSPECTION	08/24/2023
EQUIPMENT LIST	12/14/2023
ANNUAL DECLARATION	12/14/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/14/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
12:00PM	1:00PM	11/10/1998
3:30PM	4:30PM	11/10/1998

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	Sheila Bruckerhoff with 5 children, one child age 2 and four children ages 3 through 5 year's 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 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