MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
JORDAN, TANNA

Facility DVN
001103380

Phone
(573) 247-2911

Physical Address
1216 COUNTY ROAD 6160
SALEM
MO 65560-9503

Owner
JORDAN, TANNA L

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
RONDA TUSCHHOFF

Age Range
BIRTH - 12 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
12/07/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2346429422

Document	Document-Date
SANITATION INSPECTION	08/14/2018
FIRE/SAFETY INSPECTION	08/13/2018
ASSISTANT REFERENCES	08/17/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/16/2018
ASSISTANT APPROVAL REQUEST	07/30/2018
APPLICATION	07/16/2018
DAILY SCHEDULE	07/16/2018
SAMPLE WEEKLY MENU	07/16/2018
CHILD CARE/DISCIPLINE POLICIES	07/16/2018
SAFE SLEEP POLICY	07/16/2018
OWNER/PROVIDER REFERENCES	07/16/2018
POLICIES	07/16/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	07/16/2018
DIAGRAM/OUTDOOR	05/07/2018
DIAGRAM/INDOOR	05/07/2018
EQUIPMENT LIST	07/16/2018

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.