MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

Back

Facility Information

Facility Name
FAMILYFORWARD

Facility DVN
002651170

Phone
(314) 534-9350

Physical Address
2780 N LINDBERGH BLVD
ST LOUIS
MO 63114-1108

Owner
THE CHILDREN'S HOME SOCIETY OF MISSOURI

Mailing Address

Provider/Director
BLEVENS, JENNIFER MARIE

E-mail Address
jennifer.blevens@familyforwardmo.org

Incorporated
Incorporated

Child Care Specialist
CHARMEL WILLIAMS

Age Range
36 MONTHS - 6 YEARS

Capacity
30

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
01/04/2024

Arrival Time
12:20 PM

Departure Time
1:15 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2461827744

Document	Document-Date
CERTIFICATE OF GOOD STANDING	12/13/2022
ARTICLES OF INCORPORATION	12/13/2022
LOCAL FIRE DEPARTMENT NOTIFICATION	12/13/2022
DIRECTOR'S QUALIFICATIONS	12/14/2022
LOCAL BUILDING APPROVAL	12/13/2022
LOCAL ZONING APPROVAL	12/13/2022
REGISTERING FICTITIOUS NAMES	12/13/2022
LINES OF ADMINISTRATIVE AUTHORITY	12/13/2022
SAMPLE WEEKLY MENU	12/13/2022
DISCIPLINE POLICIES	12/13/2022
POLICIES	12/13/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/14/2022
DIAGRAM/OUTDOOR	12/15/2022
DIAGRAM/INDOOR	11/14/2022
SAMPLE FORMS	12/15/2022
JOB RESPONSIBILITIES	12/13/2022
APPLICATION	12/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/27/2023
EQUIPMENT LIST	11/27/2023
CHILD CARE PRACTICES	12/13/2022
DAILY SCHEDULE	12/14/2022
FIRE/SAFETY INSPECTION	10/19/2023
SANITATION INSPECTION	10/25/2023
ANNUAL DECLARATION	11/27/2023

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 10

Total Children 7

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	Jennifer Blevens Director and Marissa Smith Coordinator were present without children
3	2	PRESCHOOL	Andrea Herman, Danielle Rohleder, and Melanie Asher Therapists were present with two children, ages 4-years-old and 5-years-old
1	1	PRESCHOOL	Katherine Burgess Teacher was present with one child, age 5-years-old
1	1	PRESCHOOL	Breanna Douglas Therapist was present with one child, age 3-years-old
3	3	PRESCHOOL	Sarah Cervantes Teacher, Jeremy Boal and Mia Meyer Therapists were present with three children, ages 4-years-old to 5-years-old


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.087 Fire Safety Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Compliance
5 CSR 25-500.132 Admission Policies and Procedures Compliance
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.162 Overlap Care of Children Not Observed
5 CSR 25-500.172 Emergency School Closings Compliance
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Compliance
5 CSR 25-500.202 Nutrition and Food Service Compliance
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 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