MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
DOUGLAS, TRACY EVETT

Facility DVN
001213056

Phone
(314) 448-2862

Physical Address
2915 MIAMI
ST LOUIS
MO 63118

Owner
DOUGLAS, TRACY EVETT

Mailing Address
PO BOX 18703
ST LOUIS
MO 63118-0703

Provider/Director
DOUGLAS, TRACY EVETT

E-mail Address
TRACYSDCARE@YAHOO.COM

Incorporated

Child Care Specialist
JOYCE E GREEN

Age Range
6 WEEKS - 12 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
03/05/2024

Arrival Time
11:46 AM

Departure Time
12:40 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2465530814

Document	Document-Date
ASSISTANT REFERENCES	08/13/1999
OWNER/PROVIDER REFERENCES	09/24/1998
SAMPLE WEEKLY MENU	08/13/1999
SAMPLE FORMS	06/05/2007
POLICIES	08/13/1999
DIAGRAM/OUTDOOR	06/08/2004
DIAGRAM/INDOOR	06/08/2004
DAILY SCHEDULE	12/30/1999
CHILD CARE/DISCIPLINE POLICIES	08/13/1999
ASSISTANT APPROVAL REQUEST	06/12/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/03/2012
APPLICATION	06/05/2019
FIRE/SAFETY INSPECTION	06/05/2023
SANITATION INSPECTION	04/25/2023
ANNUAL DECLARATION	08/24/2022
EQUIPMENT LIST	08/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/24/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	7/27/2009

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Tracy Douglas, provider, was present with no children.


5 CSR 25-400.025 Organization and Administration Compliance
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 Violation
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 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 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 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. 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