MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CAIN, PENNY KAY

Facility DVN
001334014

Phone
(660) 537-4942

Physical Address
22838 WOODLAND SCHOOL RD
BOONVILLE
MO 65233

Owner
CAIN, PENNY KAY

Mailing Address

Provider/Director

E-mail Address
pennycain66@hotmail.com

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

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 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
09/14/2018

Arrival Time
12:30 PM

Departure Time
1:43 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2339546371

Document	Document-Date
DIAGRAM/OUTDOOR	03/06/2000
DIAGRAM/INDOOR	03/06/2000
OWNER/PROVIDER REFERENCES	10/08/1999
SAMPLE WEEKLY MENU	03/06/2000
POLICIES	05/05/2000
CHILD CARE/DISCIPLINE POLICIES	05/05/2000
DAILY SCHEDULE	05/05/2000
ASSISTANT APPROVAL REQUEST	01/23/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/23/2012
SAFE SLEEP POLICY	01/26/2016
APPLICATION	02/14/2018
EQUIPMENT LIST	02/14/2018
FIRE/SAFETY INSPECTION	02/21/2018
SANITATION INSPECTION	02/28/2018

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	12/20/2004

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 10

Staff	Child	Class Age	Note
1	10	MIXED	4 related children 2 children under 2 8 children ages 2 to 6