MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
EVILSIZER, REBECCA LOUISE

Facility DVN
000220835

Phone
(660) 247-1185

Physical Address
1664 POLK ST
CHILLICOTHE
MO 64601-1838

Owner
EVILSIZER, REBECCA LOUISE

Mailing Address

Provider/Director
EVILSIZER, REBECCA LOUISE

E-mail Address
bbsitr@sbcglobal.net

Incorporated

Child Care Specialist
ELLEN DONOHO

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
10/01/2024

Arrival Time
2:50 PM

Departure Time
3:25 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2479389700

Document	Document-Date
SAMPLE WEEKLY MENU	01/08/1987
SAMPLE FORMS	01/27/2012
OWNER/PROVIDER REFERENCES	09/10/1986
DIAGRAM/OUTDOOR	01/08/1987
DIAGRAM/INDOOR	01/08/1987
DAILY SCHEDULE	03/25/1997
ASSISTANT REFERENCES	02/20/1992
ASSISTANT APPROVAL REQUEST	02/26/2010
CHILD CARE/DISCIPLINE POLICIES	01/13/2014
POLICIES	01/10/2016
APPLICATION	10/26/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/06/2020
SAFE SLEEP POLICY	02/06/2020
SANITATION INSPECTION	02/05/2024
EQUIPMENT LIST	02/28/2024
ANNUAL DECLARATION	02/28/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/28/2024
FIRE/SAFETY INSPECTION	12/14/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:00AM	12:00PM	3/6/2023
3:15PM	4:15PM	3/6/2023

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 2

Total Children 11

Staff	Child	Class Age	Note
2	11	MIXED	Two school aged related grandchildren.. Two under the age of 2 years. Becky Evilsizer and Larry Evilsizer.

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 Compliance
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 Not Observed
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 Compliance
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 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 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. 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