DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

JACKSON, JACQUELINE MARIE

001425934

(314) 531-4959

3814 PENROSE ST
ST LOUIS
MO  63107-1636

JACKSON, JACQUELINE MARIE



 

JACKSON, JACQUELINE MARIE

JTRJJ@AOL.COM


AMY MUSSELMAN

6 WEEKS - 13 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
 
Inspection Information

04/21/2026

9:30 AM

10:30 AM

UNANNOUNCED

COMPLIANCE MONITORING

2511896373


DocumentDocument-Date
ASSISTANT REFERENCES 01/05/2011
ASSISTANT APPROVAL REQUEST 01/05/2011
SAMPLE WEEKLY MENU 10/31/2002
SAMPLE FORMS 10/31/2002
POLICIES 10/31/2002
DIAGRAM/OUTDOOR 10/31/2002
DIAGRAM/INDOOR 10/31/2002
CHILD CARE/DISCIPLINE POLICIES 10/31/2002
DAILY SCHEDULE 10/31/2002
LLC OPERATING AGREEMENT 12/28/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/27/2018
SAFE SLEEP POLICY 09/26/2018
APPLICATION 02/05/2019
SANITATION INSPECTION 01/12/2026
ANNUAL DECLARATION 03/02/2026
EQUIPMENT LIST 03/02/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/12/2026
FIRE/SAFETY INSPECTION 02/17/2026

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   4:30PM   2/6/2015
  7:30AM   8:30AM   2/6/2015



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 2
Total Children 8
StaffChildClass AgeNote
2 8 MIXED Jacqueline Jackson, Provider, and Shayla Hearns, Assistant, were in attendance with eight children, two children age 12-months-old, three children age 2-years-old, two children age 3-years-old, and one child age 4-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
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by a broken glass block was accessible to children on the side of the house.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
4/21/2026
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 1 child's file did not include authorization for emergency care.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
4/21/2026
5 CSR 25-400.145 Nighttime Care
Not Observed
5 CSR 25-400.155 Overlap Care of Children
Compliance
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include name and phone number of the family physician or hospital.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
4/21/2026
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