MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FODERBERG, MICHELLE E

Facility DVN
002379439

Phone
(816) 507-0503

Physical Address
2008 NE 91ST ST
KANSAS CITY
MO 64155

Owner
FODERBERG, MICHELLE E

Mailing Address

Provider/Director

E-mail Address
foderberg@hotmail.com

Incorporated

Child Care Specialist
PENNY SNODGRASS

Age Range
BIRTH - 5 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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
11/01/2018

Arrival Time
9:00 AM

Departure Time
9:53 AM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2343401382

Document	Document-Date
SANITATION INSPECTION	11/09/2017
FIRE/SAFETY INSPECTION	10/05/2018
EQUIPMENT LIST	11/01/2018
ASSISTANT REFERENCES	11/29/2012
ASSISTANT APPROVAL REQUEST	01/22/2013
SAMPLE WEEKLY MENU	01/22/2013
POLICIES	01/23/2013
OWNER/PROVIDER REFERENCES	12/04/2012
DAILY SCHEDULE	01/22/2013
CHILD CARE/DISCIPLINE POLICIES	01/23/2013
DIAGRAM/OUTDOOR	01/22/2013
DIAGRAM/INDOOR	01/22/2013
APPLICATION	11/01/2016

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 2

Total Children 6

Staff	Child	Class Age	Note
2	6	MIXED	3 children under age 2 years. Plus an additional 2 related children.