MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SHAPES & COLORS

Facility DVN
001660877

Phone
(314) 429-0221

Physical Address
4417 BILOXI AVE
BERKELEY
MO 63134-3413

Owner
HICKS, YOLANDA SHERILL

Mailing Address

Provider/Director
HICKS, YOLANDA SHERILL

E-mail Address
yolandahicks33@yahoo.com

Incorporated

Child Care Specialist
BRITTNEY RALPH

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
04/03/2024

Arrival Time
12:54 PM

Departure Time
1:26 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2467550785

Document	Document-Date
SAMPLE WEEKLY MENU	10/07/2002
SAMPLE FORMS	10/07/2002
DAILY SCHEDULE	10/07/2002
CHILD CARE/DISCIPLINE POLICIES	10/07/2002
ASSISTANT APPROVAL REQUEST	09/01/2010
DIAGRAM/OUTDOOR	07/13/2010
DIAGRAM/INDOOR	07/13/2010
POLICIES	10/07/2002
APPLICATION	08/16/2018
SAFE SLEEP POLICY	08/16/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/19/2018
SANITATION INSPECTION	07/18/2023
FIRE/SAFETY INSPECTION	07/17/2023
EQUIPMENT LIST	10/03/2023
REGISTERING FICTITIOUS NAMES	10/03/2023
ANNUAL DECLARATION	09/08/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/08/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
6:30AM	8:30AM	12/11/2019

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 3

Staff	Child	Class Age	Note
1	3	MIXED	Director, Yolanda Hicks was present with three children ages ranging from 2-years-old to 5-years-old. There was one 2-year-old.

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

	Provider Comments
Violation Hazardous items as follows were accessible to children: Fish tank cleaner. The item(s) was/were located in an unlocked cabinet under the fish tank. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required Hazardous items shall be inaccessible to children. Correction Verification Corrected on Site Compliance Date 4/3/2024

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

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

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