MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
RARDON, CRYSTAL

Facility DVN
002147528

Phone
(816) 528-6330

Physical Address
4509 SE CREEKWOOD LN
LATHROP
MO 64465-8556

Owner
RARDON, CRYSTAL

Mailing Address

Provider/Director

E-mail Address

Incorporated

Child Care Specialist
JILL EILEEN ZEIGENBEIN

Age Range
BIRTH - 11 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
04/03/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2353775703

Document	Document-Date
EQUIPMENT LIST	01/03/2019
SANITATION INSPECTION	12/28/2018
APPLICATION	01/03/2019
ASSISTANT REFERENCES	02/06/2013
SAMPLE WEEKLY MENU	03/06/2009
POLICIES	04/28/2009
DAILY SCHEDULE	04/21/2009
DIAGRAM/OUTDOOR	04/21/2009
CHILD CARE/DISCIPLINE POLICIES	04/28/2009
DIAGRAM/INDOOR	03/06/2009
FIRE/SAFETY INSPECTION	02/19/2019
OWNER/PROVIDER REFERENCES	04/15/2009

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.