MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
POELKER, AMY MARIA

Facility DVN
002104985

Phone
(314) 517-2378

Physical Address
3459 MARY ANN CT
ST ANN
MO 63074-2915

Owner
POELKER, AMY MARIA

Mailing Address

Provider/Director
POELKER, AMY MARIA

E-mail Address
casjpoelker@msn.com

Incorporated

Child Care Specialist
CHRISTINA BRUCE

Age Range
BIRTH - 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
05/01/2024

Arrival Time
12:36 PM

Departure Time
12:58 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2470326324

Document	Document-Date
DIAGRAM/INDOOR	11/04/2008
DIAGRAM/OUTDOOR	11/04/2008
ASSISTANT APPROVAL REQUEST	10/20/2014
DAILY SCHEDULE	01/16/2014
ASSISTANT REFERENCES	11/06/2008
CHILD CARE/DISCIPLINE POLICIES	10/27/2008
SAMPLE WEEKLY MENU	01/16/2014
LOCAL FIRE DEPARTMENT NOTIFICATION	10/17/2008
POLICIES	10/17/2008
APPLICATION	08/22/2018
EQUIPMENT LIST	08/30/2023
FIRE/SAFETY INSPECTION	08/24/2023
SANITATION INSPECTION	08/16/2023
SAFETY PLAN	08/30/2023
ANNUAL DECLARATION	08/30/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/30/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:45PM	1/21/2014

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Provider, Amy Poelker was present with six children ages ranging from 16-months-old to 4-years-old, one child under age 2.

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 Not Observed
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 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 Compliance
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 Not Observed
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 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