MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
JACKSON, JACQUELINE MARIE

Facility DVN
001425934

Phone
(314) 531-4959

Physical Address
3814 PENROSE ST
ST LOUIS
MO 63107-1636

Owner
JACKSON, JACQUELINE MARIE

Mailing Address

Provider/Director
JACKSON, JACQUELINE MARIE

E-mail Address
JTRJJ@AOL.COM

Incorporated

Child Care Specialist
JOYCE E GREEN

Age Range
6 WEEKS - 13 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
07/10/2024

Arrival Time
11:09 AM

Departure Time
11:09 AM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2474007544

Document	Document-Date
ASSISTANT REFERENCES	01/05/2011
ASSISTANT APPROVAL REQUEST	01/05/2011
SAMPLE WEEKLY MENU	10/31/2002
SAMPLE FORMS	10/31/2002
POLICIES	10/31/2002
DIAGRAM/OUTDOOR	10/31/2002
DIAGRAM/INDOOR	10/31/2002
CHILD CARE/DISCIPLINE POLICIES	10/31/2002
DAILY SCHEDULE	10/31/2002
LLC OPERATING AGREEMENT	12/28/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/27/2018
SAFE SLEEP POLICY	09/26/2018
APPLICATION	02/05/2019
SANITATION INSPECTION	12/19/2023
FIRE/SAFETY INSPECTION	02/02/2023
ANNUAL DECLARATION	03/25/2024
EQUIPMENT LIST	03/25/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/25/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	4:30PM	2/6/2015
7:30AM	8:30AM	2/6/2015

Inspection determined facility to be in compliance with 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.

Compliance List
5 CSR 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Not Observed
5 CSR 25-400.055 Annual Requirements Violation
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Not Observed
5 CSR 25-400.086 Fire Safety Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness Violation
5 CSR 25-400.095 Furniture, Equipment and Materials Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Not Observed
5 CSR 25-400.115 Child Care Family and Household Not Observed
5 CSR 25-400.125 Medical Examination Reports Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Not Observed
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 Not Observed
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 Violation
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