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
11/06/2024

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2482094560

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	07/24/2024
FIRE/SAFETY INSPECTION	07/15/2024
EQUIPMENT LIST	09/03/2024
REGISTERING FICTITIOUS NAMES	10/03/2023
ANNUAL DECLARATION	09/03/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/03/2024

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.

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 Violation
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 Violation
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 Compliance
5 CSR 25-400.185 Health Care Compliance
5 CSR 25-400.190 Nutrition and Food Service Compliance
5 CSR 25-400.200 Transportation and Field Trips Compliance
5 CSR 25-400.210 Records and Reports Compliance
5 CSR 25-600.020 General Requirements Violation
5 CSR 25-600.040 Background Screening Findings Compliance
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