MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BRUCKERHOFF, SHEILA

Facility DVN
000176527

Phone
(573) 760-6255

Physical Address
156 STATE HIGHWAY 19
HERMANN
MO 65041

Owner
BRUCKERHOFF, SHEILA

Mailing Address

Provider/Director
BRUCKERHOFF, SHEILA

E-mail Address
shebruck@gmail.com

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
6 WEEKS - 11 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
07/16/2025

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2496955384

Document	Document-Date
POLICIES	11/18/2009
SAMPLE WEEKLY MENU	03/15/1984
DIAGRAM/OUTDOOR	06/10/2010
DIAGRAM/INDOOR	11/30/2009
DAILY SCHEDULE	02/28/1994
CHILD CARE/DISCIPLINE POLICIES	11/18/2009
ASSISTANT APPROVAL REQUEST	11/12/2015
ASSISTANT REFERENCES	01/25/2016
OWNER/PROVIDER REFERENCES	06/29/1982
APPLICATION	10/31/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/20/2012
SAFE SLEEP POLICY	01/25/2016
SANITATION INSPECTION	09/03/2024
FIRE/SAFETY INSPECTION	09/10/2024
EQUIPMENT LIST	01/03/2025
ANNUAL DECLARATION	01/03/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/03/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
12:00PM	1:00PM	11/10/1998
3:30PM	4:30PM	11/10/1998

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 Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Compliance
5 CSR 25-400.086 Fire Safety Violation
5 CSR 25-400.090 Disaster and Emergency Preparedness Violation
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 Compliance
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 Compliance
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