MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HOFFMAN, ERICA

Facility DVN
001619592

Phone
(573) 229-4505

Physical Address
400 N OLIVE ST
ST THOMAS
MO 65076

Owner
HOFFMAN, ERICA

Mailing Address

Provider/Director

E-mail Address
ERICA65109@YAHOO.COM

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
6 WEEKS - 13 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
10/18/2019

Arrival Time
9:15 AM

Departure Time
10:33 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2366711296

Document	Document-Date
OWNER/PROVIDER REFERENCES	03/08/2011
ASSISTANT APPROVAL REQUEST	04/29/2019
SAMPLE FORMS	01/19/2011
SAMPLE WEEKLY MENU	01/19/2011
DAILY SCHEDULE	01/19/2011
CHILD CARE/DISCIPLINE POLICIES	01/19/2011
POLICIES	01/19/2011
DIAGRAM/OUTDOOR	01/19/2011
DIAGRAM/INDOOR	01/19/2011
EQUIPMENT LIST	04/02/2019
APPLICATION	04/02/2019
SANITATION INSPECTION	02/06/2019
FIRE/SAFETY INSPECTION	02/05/2019

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	10/31/2014

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 5

Staff	Child	Class Age	Note
1	5	MIXED	Erica Hoffman with 5 children age 1 year to 4 years old, with 1 child under age 2, and 3 children age 2.