DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

LEWIS, HOLLY LYNN

002186781

(785) 577-2190

1221 SW SUMMIT CROSSING DR
LEES SUMMIT
MO  64081-3264

LEWIS, HOLLY LYNN



 

LEWIS, HOLLY LYNN

holly.lewis082884@yahoo.com


ROMENA FOX

BIRTH - 10 YEARS

10

FAMILY HOME

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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS
 
Inspection Information

12/12/2025

12:00 PM

1:02 PM

UNANNOUNCED

SUPPLEMENTAL

2505768931


DocumentDocument-Date
SANITATION INSPECTION 01/24/2024
ANNUAL DECLARATION 01/08/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/08/2025
EQUIPMENT LIST 01/08/2025
FIRE/SAFETY INSPECTION 10/24/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 5
Total Children 9
StaffChildClass AgeNote
3 0 MIXED Aieron Lewis, Keiair Lewis, and Nevaeh Lewis with zero children.
2 9 MIXED Provider Holly Lynn Lewis and Caregiver Sherman Lewis with nine children ages 5 months old to 5 years old, with four children under the age of 2 years old.

Compliance List
5 CSR 25-400.025 Organization and Administration
Not Observed
5 CSR 25-400.045 Licensing Process
Violation
 Provider Comments
Violation
Conditions specified on the license were not met as evidenced by Holly Lynn Lewis stated that she provided care for a foster child from 2:00 p.m. until 10:00 p.m. for about a week until the parent found alternative care.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.
Correction Required
The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification
Corrected on Site

Compliance Date
12/12/2025
5 CSR 25-400.055 Annual Requirements
Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Not Observed
5 CSR 25-400.086 Fire Safety
Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials
Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Not Observed
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
Not Observed
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
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance