MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
WORTHWINE, RANDI

Facility DVN
000444166

Phone
(816) 324-4631

Physical Address
201 W MAIN
SAVANNAH
MO 64485

Owner
WORTHWINE, RANDI LEE

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
PEGGY HASTINGS

Age Range
BIRTH - 14 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
03/05/2019

Arrival Time
2:15 PM

Departure Time
3:00 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2351837800

Document	Document-Date
FIRE/SAFETY INSPECTION	01/15/2019
OWNER/PROVIDER REFERENCES	08/07/1991
POLICIES	08/02/1993
SAMPLE WEEKLY MENU	09/23/1991
CHILD CARE/DISCIPLINE POLICIES	08/02/1993
DIAGRAM/OUTDOOR	04/22/1994
DAILY SCHEDULE	09/23/1991
DIAGRAM/INDOOR	04/22/1994
ASSISTANT APPROVAL REQUEST	02/03/2012
APPLICATION	12/28/2017
EQUIPMENT LIST	02/07/2018
SANITATION INSPECTION	01/15/2019

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	2/25/2002

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 7

Staff	Child	Class Age	Note
1	7	MIXED	7 non related with 1 under age 2 years. One related also present