DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BROWER, TAMBRA LYNN

001804864

(417) 293-3466

1349 HICKORY HILLS DR
WILLOW SPRINGS
MO  65793-3465

BROWER, TAMBRA LYNN



 

BROWER, TAMBRA LYNN

tambrabrower@yahoo.com


ELAINE S COX

BIRTH - 14 YEARS

10

FAMILY HOME

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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

06/07/2024

2:04 PM

2:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2472211495


DocumentDocument-Date
DAILY SCHEDULE 12/03/2008
SAMPLE WEEKLY MENU 01/21/2009
POLICIES 01/21/2009
DIAGRAM/INDOOR 06/09/2016
DIAGRAM/OUTDOOR 06/09/2016
ASSISTANT APPROVAL REQUEST 12/28/2016
ASSISTANT REFERENCES 12/28/2016
CHILD CARE/DISCIPLINE POLICIES 01/21/2009
OWNER/PROVIDER REFERENCES 12/15/2008
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/16/2017
SAFE SLEEP POLICY 06/06/2016
SANITATION INSPECTION 10/03/2023
FIRE/SAFETY INSPECTION 10/12/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/03/2023
EQUIPMENT LIST 11/03/2023
ANNUAL DECLARATION 11/03/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:30AM   12:30PM   7/5/2021
  3:20PM   4:20PM   7/5/2021



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 7
StaffChildClass AgeNote
1 7 MIXED Tambra Brower with 7 children ages 5 months to 4-years-old. This included 1 child under age 2 years. Doug and Bryan Bower also present, but left during inspection.

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
Violation
 Provider Comments
Violation
Outdoor equipment, used bath tub used for sand play, in play yard was not free of pointed parts as evidenced by as metal edges are sharp.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Submit Documentation

Compliance Date

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
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
Violation
 Provider Comments
Violation
The diapering table or other approved area was not safe as evidenced by waterproof covering torn exposing foam rubber pad.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program (1) (E) 1 states: A safe diapering table or other approved area with a waterproof, washable surface shall be used for changing diapers. The table or area shall be cleaned thoroughly with a disinfectant after each use.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Corrected on Site

Compliance Date
6/7/2024
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
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance