MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HERNANDEZ, INES TRINIDAD

Facility DVN
001928310

Phone
(573) 442-4416

Physical Address
3100 FOX TROT DR
COLUMBIA
MO 65202-1482

Owner
HERNANDEZ, INES TRINIDAD

Mailing Address

Provider/Director

E-mail Address
ABIGSCRUB@YAHOO.COM

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
BIRTH - 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 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
03/22/2019

Arrival Time
1:00 PM

Departure Time
2:39 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2353016763

Document	Document-Date
CHILD CARE/DISCIPLINE POLICIES	08/17/2005
POLICIES	08/17/2008
OWNER/PROVIDER REFERENCES	09/06/2005
SAMPLE FORMS	07/05/2001
SAMPLE WEEKLY MENU	08/17/2005
DAILY SCHEDULE	09/28/2008
DIAGRAM/OUTDOOR	08/17/2005
DIAGRAM/INDOOR	08/17/2005
ARTICLES OF INCORPORATION	08/17/2005
ASSISTANT APPROVAL REQUEST	09/30/2015
ASSISTANT REFERENCES	09/30/2015
APPLICATION	08/02/2017
EQUIPMENT LIST	08/02/2017
FIRE/SAFETY INSPECTION	08/01/2018
SANITATION INSPECTION	08/23/2018

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:50PM	4:50PM	8/4/2010
7:00AM	8:00AM	3/8/2010

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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 10

Staff	Child	Class Age	Note
2	10	MIXED	Ines and Christian were the caregivers with the children. Children range in age from 5 months to 4 years with 3 children under 2 years.