MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
JOHNSON, MELISSA

Facility DVN
002455838

Phone
(417) 389-3521

Physical Address
1818 RACHEL DR
NEOSHO
MO 64850-2769

Owner
JOHNSON, MELISSA DAWN

Mailing Address

Provider/Director

E-mail Address
rmmkjohnson@sbcglobal.net

Incorporated

Child Care Specialist
PENNY KREITZER

Age Range
6 WEEKS - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
2 CHILDREN UNDER 12 MONTHS; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
08/10/2018

Arrival Time
11:45 AM

Departure Time
12:14 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2337238883

Document	Document-Date
SAMPLE WEEKLY MENU	03/14/2014
POLICIES	03/14/2014
OWNER/PROVIDER REFERENCES	04/01/2014
DIAGRAM/OUTDOOR	03/14/2014
DIAGRAM/INDOOR	03/14/2014
DAILY SCHEDULE	03/14/2014
CHILD CARE/DISCIPLINE POLICIES	03/21/2014
ASSISTANT APPROVAL REQUEST	03/06/2018
FIRE/SAFETY INSPECTION	11/08/2017
EQUIPMENT LIST	02/07/2018
APPLICATION	02/02/2018
SANITATION INSPECTION	12/27/2017

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 9

Staff	Child	Class Age	Note
1	9	PRESCHOOL