MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BLANKENSHIP, TAMMY MISHELL

Facility DVN
001988612

Phone
(573) 793-3459

Physical Address
16 MADDEN FORD RD
IBERIA
MO 65486

Owner
BLANKENSHIP, TAMMY MISHELL

Mailing Address

Provider/Director

E-mail Address
BLANKENSHIP06@WINDSTREAM.NET

Incorporated

Child Care Specialist
STEPHANIE CHANDLER

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
10 IN CARE NO MORE THAN 4 UNDER 2 WITH 2 ADULT CAREGIVERS; 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
06/12/2014

Arrival Time
10:00 AM

Departure Time
10:56 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2228043875

Document	Document-Date
FIRE/SAFETY INSPECTION	12/05/2013
SANITATION INSPECTION	10/21/2013
APPLICATION	11/19/2012
DIAGRAM/INDOOR	01/02/2007
DIAGRAM/OUTDOOR	01/02/2007
CHILD CARE/DISCIPLINE POLICIES	01/02/2007
DAILY SCHEDULE	01/02/2007
SAMPLE WEEKLY MENU	01/02/2007
EQUIPMENT LIST	11/19/2012
SAMPLE FORMS	01/02/2007
ASSISTANT APPROVAL REQUEST	10/08/2012
OWNER/PROVIDER REFERENCES	01/02/2007

Overlap Start Time	Overlap End Time	Overlap Submit Date
10:15AM	12:15PM	6/6/2011

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 1

Total Children 7

Staff	Child	Class Age	Note
1	7	MIXED	Tammy with 2 children under age two and 5 children over age two.


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