MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ICE, DANIELLE E

Facility DVN
002461705

Phone
(573) 619-8617

Physical Address
1619 WESTVIEW DR
JEFFERSON CITY
MO 65109-0409

Owner
ICE, DANIELLE E

Mailing Address

Provider/Director

E-mail Address
danielleice@rocketmail.com

Incorporated

Child Care Specialist
TERESA A WINEMILLER

Age Range
BIRTH - 10 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

Inspection Information

Date
03/19/2015

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2249488407

Document	Document-Date
SANITATION INSPECTION	02/18/2015
FIRE/SAFETY INSPECTION	02/04/2015
SAMPLE WEEKLY MENU	03/14/2014
SAMPLE FORMS	03/14/2014
DAILY SCHEDULE	03/14/2014
DIAGRAM/OUTDOOR	03/14/2014
DIAGRAM/INDOOR	03/14/2014
POLICIES	03/14/2014
CHILD CARE/DISCIPLINE POLICIES	03/14/2014
APPLICATION	03/14/2014
OWNER/PROVIDER REFERENCES	04/15/2014
EQUIPMENT LIST	05/06/2014

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:15PM	5:05PM	8/20/2014
7:30AM	8:40AM	8/20/2014

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.