MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
TENNYSON, HELEN

Facility DVN
002426628

Phone
(573) 445-1465

Physical Address
1600 BRADY PLACE
COLUMBIA
MO 65203

Owner
TENNYSON, HELEN ANN

Mailing Address

Provider/Director

E-mail Address
sueshouse13@hotmail.com

Incorporated

Child Care Specialist
ANGELA EVELYN EASLEY

Age Range
12 MONTHS - 5 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
10/12/2016

Arrival Time
8:05 AM

Departure Time
8:55 AM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2290900258

Document	Document-Date
APPLICATION	08/08/2016
ASSISTANT APPROVAL REQUEST	12/08/2014
ASSISTANT REFERENCES	06/12/2014
CHILD CARE/DISCIPLINE POLICIES	05/02/2014
DAILY SCHEDULE	05/02/2014
DIAGRAM/INDOOR	05/02/2014
DIAGRAM/OUTDOOR	05/02/2014
EQUIPMENT LIST	10/12/2016
POLICIES	05/02/2014
SAMPLE WEEKLY MENU	05/02/2014
OWNER/PROVIDER REFERENCES	04/17/2014
FIRE/SAFETY INSPECTION	09/15/2016
SANITATION INSPECTION	08/16/2016

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 5

Staff	Child	Class Age	Note
1	5	PRESCHOOL