MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HOPKINS, KAREN KAY

Facility DVN
000319015

Phone
(816) 320-3439

Physical Address
6776 SE ISLEY DR
HOLT
MO 64048

Owner
HOPKINS, KAREN KAY

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
JILL EILEEN ZEIGENBEIN

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
11/19/2018

Arrival Time
3:45 PM

Departure Time
4:43 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2344519257

Document	Document-Date
SANITATION INSPECTION	02/27/2018
FIRE/SAFETY INSPECTION	02/06/2018
APPLICATION	03/06/2018
EQUIPMENT LIST	03/14/2018
SAMPLE FORMS	03/05/2010
SAMPLE WEEKLY MENU	03/05/2010
POLICIES	03/05/2010
OWNER/PROVIDER REFERENCES	12/01/2009
DIAGRAM/OUTDOOR	03/05/2010
DIAGRAM/INDOOR	03/05/2010
DAILY SCHEDULE	03/05/2010
CHILD CARE/DISCIPLINE POLICIES	03/05/2010

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	5:00PM	3/19/2014
7:00AM	8:00AM	3/19/2014

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 6

Staff	Child	Class Age	Note
1	6	MIXED	1 under 2 years