MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FOREMAN, NATALIE

Facility DVN
001127328

Phone
(417) 549-6961

Physical Address
926 N MAIN
NEVADA
MO 64772

Owner
FOREMAN, NATALIE

Mailing Address

Provider/Director

E-mail Address
NATALIEFOREMAN@SBCGLOBAL.NET

Incorporated

Child Care Specialist
TIM PHILLIPS

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
6 CHILDREN IN CARE NO MORE THAN 3 UNDER 2 WITH 1 ADULT CAREGIVER; 7-10 IN CARE NO MORE THAN 2 UNDER 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
04/23/2014

Arrival Time
10:00 AM

Departure Time
11:43 AM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2224622696

Document	Document-Date
EQUIPMENT LIST	03/20/2012
CHILD CARE/DISCIPLINE POLICIES	05/01/2008
DAILY SCHEDULE	05/13/1998
DIAGRAM/INDOOR	04/13/1998
DIAGRAM/OUTDOOR	06/03/1998
OWNER/PROVIDER REFERENCES	04/30/1998
POLICIES	05/01/2008
SAMPLE WEEKLY MENU	04/27/1998
APPLICATION	04/17/2014
SANITATION INSPECTION	02/03/2014
FIRE/SAFETY INSPECTION	02/27/2014

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:20PM	5:20PM	3/20/2012

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.


19 CSR 30-61.025 Organization and Administration Compliance
19 CSR 30-61.045 Initial Licensing Information Compliance
19 CSR 30-61.055 License Renewal Compliance
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home Compliance
19 CSR 30-61.086 Fire Safety Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-61.095 Furniture, Equipment and Materials Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel Compliance
19 CSR 30-61.115 Day Care Family and Household Compliance
19 CSR 30-61.125 Medical Examination Reports Compliance
19 CSR 30-61.135 Admission Policies and Procedures Compliance
19 CSR 30-61.145 Nighttime Care Compliance
19 CSR 30-61.155 Overlap Care of Children Compliance
19 CSR 30-61.165 Emergency School Closings Compliance
19 CSR 30-61.175 Child Care Program Compliance
19 CSR 30-61.185 Health Care Compliance
19 CSR 30-61.190 Nutrition and Food Service Compliance
19 CSR 30-61.200 Transportation and Field Trips Compliance
19 CSR 30-61.210 Records and Reports Compliance