MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
LUECKENHOFF, KAREN

Facility DVN
000447458

Phone
(573) 634-4770

Physical Address
2761 SOUTHRIDGE CT
JEFFERSON CITY
MO 65109

Owner
LUECKENHOFF, KAREN

Mailing Address

Provider/Director

E-mail Address
KARENLUECKENHOFF@YAHOO.COM

Incorporated

Child Care Specialist
JAN CARTER

Age Range
6 WEEKS - 12 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
09/14/2016

Arrival Time
10:20 AM

Departure Time
11:28 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2288892480

Document	Document-Date
EQUIPMENT LIST	08/18/2015
APPLICATION	08/18/2015
SANITATION INSPECTION	08/09/2016
FIRE/SAFETY INSPECTION	08/08/2016
SAMPLE WEEKLY MENU	10/09/1991
DIAGRAM/OUTDOOR	10/09/1991
DIAGRAM/INDOOR	10/09/1991
DAILY SCHEDULE	10/09/1991
ASSISTANT APPROVAL REQUEST	08/10/2011
CHILD CARE/DISCIPLINE POLICIES	08/21/1995
POLICIES	10/07/1999

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:30PM	5:00PM	9/23/2009
7:00AM	8:30AM	9/23/2009

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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

Staff	Child	Class Age	Note
2	8	MIXED	Karen and Ron Lueckenhoff with 8 unrelated children, (2 under age 2.) No related children present.