MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SHIPLEY, KELLY J

Facility DVN
002069827

Phone
(816) 863-6326

Physical Address
619 W HARRISON ST
BUTLER
MO 64730-1303

Owner
SHIPLEY, KELLY J

Mailing Address

Provider/Director
SHIPLEY, KELLY J

E-mail Address
KJSHIPLEY@HOTMAIL.COM

Incorporated

Child Care Specialist
KRYSTAL WILLIAMS

Age Range
BIRTH - 13 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; 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 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
09/16/2025

Arrival Time
10:40 AM

Departure Time
11:24 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2500358090

Document	Document-Date
SAMPLE WEEKLY MENU	01/02/2008
POLICIES	01/27/2010
DIAGRAM/OUTDOOR	12/06/2007
DIAGRAM/INDOOR	12/06/2007
CHILD CARE/DISCIPLINE POLICIES	01/27/2010
DAILY SCHEDULE	12/06/2007
ASSISTANT APPROVAL REQUEST	12/14/2017
SAFE SLEEP POLICY	06/26/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/01/2018
APPLICATION	10/30/2019
SANITATION INSPECTION	11/13/2024
FIRE/SAFETY INSPECTION	10/22/2024
EQUIPMENT LIST	02/07/2025
ANNUAL DECLARATION	02/07/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/07/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:00AM	12:00PM	12/12/2019
3:30PM	4:30PM	12/12/2019

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 7

Staff	Child	Class Age	Note
2	7	MIXED	Kelly Shipley, Provider and Hali Heckadon with seven children, one 6-week-old three 2-year-olds two 3-year-olds one 4-year-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

Not Observed

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation

	Provider Comments
Violation Window and door requirements were not met as evidenced by there was no screen on an open door. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 2. states: Open windows and doors shall be screened securely. Barriers to prevent children from falling against windows or falling from windows shall be provided when windows are less than twenty-four inches (24") from the floor and not constructed of safety glass or other non-breakable material. Correction Required Open windows and doors shall be screened securely. Correction Verification Corrected on Site Compliance Date 9/16/2025

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

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

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

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