MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SHERRY'S DAYCARE

Facility DVN
000539457

Phone
(660) 727-3170

Physical Address
411 N CLEVELAND ST
KAHOKA
MO 63445-1308

Owner
NELSON, SHERRY ANN

Mailing Address

Provider/Director
NELSON, SHERRY ANN

E-mail Address
botchhouse22@yahoo.com

Incorporated

Child Care Specialist
BETHANY CARREL DUCKWORTH

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
12/17/2024

Arrival Time
11:05 AM

Departure Time
11:44 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2484301400

Document	Document-Date
DIAGRAM/INDOOR	04/26/2007
DIAGRAM/OUTDOOR	04/26/2007
ASSISTANT APPROVAL REQUEST	02/23/2015
SAFE SLEEP POLICY	01/14/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/08/2012
DAILY SCHEDULE	09/14/2009
CHILD CARE/DISCIPLINE POLICIES	09/14/2009
POLICIES	09/14/2009
OWNER/PROVIDER REFERENCES	05/27/1993
SAMPLE WEEKLY MENU	04/19/1996
REGISTERING FICTITIOUS NAMES	03/21/2017
APPLICATION	03/12/2019
ASSISTANT REFERENCES	05/27/1993
EQUIPMENT LIST	04/30/2024
FIRE/SAFETY INSPECTION	05/09/2024
SANITATION INSPECTION	01/23/2024
ANNUAL DECLARATION	04/30/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/30/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	6/14/2024

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 4

Staff	Child	Class Age	Note
1	4	MIXED	Staff: Sherry Nelson. Age range 17 months through 4 years. One child under 2 years old.

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 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 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 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 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