MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CHESNUT, BETTY

Facility DVN
000032217

Phone
(573) 635-6131

Physical Address
3618 OLD SHAMROCK RD
JEFFERSON CITY
MO 65101

Owner
CHESNUT, BETTY LOUISE

Mailing Address

Provider/Director

E-mail Address
bessalu40@yahoo.com

Incorporated

Child Care Specialist
AMY BANNING

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
11/15/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2344426510

Document	Document-Date
OWNER/PROVIDER REFERENCES	07/08/1991
SAMPLE WEEKLY MENU	07/03/1991
SAMPLE FORMS	07/03/1991
POLICIES	07/03/1991
DAILY SCHEDULE	07/03/1991
CHILD CARE/DISCIPLINE POLICIES	07/03/1991
DIAGRAM/OUTDOOR	07/03/1991
DIAGRAM/INDOOR	07/03/1991
ASSISTANT APPROVAL REQUEST	04/17/2013
EQUIPMENT LIST	03/17/2017
APPLICATION	03/17/2017
FIRE/SAFETY INSPECTION	04/09/2018
SANITATION INSPECTION	04/25/2018

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:00PM	4/12/2011
6:00AM	6:30AM	4/12/2011

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.