MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
WILLIAMS, DIANNE

Facility DVN
001116894

Phone
(816) 912-2521

Physical Address
4634 MERSINGTON AVE
KANSAS CITY
MO 64130-2434

Owner
WILLIAMS, DIANNE

Mailing Address

Provider/Director

E-mail Address
dwilliams59@hotmail.com

Incorporated

Child Care Specialist
JANA BARTON

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
11/18/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2368164933

Document	Document-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/01/2019
SANITATION INSPECTION	08/19/2019
FIRE/SAFETY INSPECTION	09/04/2019
EQUIPMENT LIST	08/15/2019
APPLICATION	08/15/2019
DAILY SCHEDULE	08/29/2000
POLICIES	08/29/2000
SAMPLE WEEKLY MENU	11/02/2005
OWNER/PROVIDER REFERENCES	11/16/2009
ASSISTANT REFERENCES	06/04/2010
ASSISTANT APPROVAL REQUEST	09/11/2015
CHILD CARE/DISCIPLINE POLICIES	08/29/2000
DIAGRAM/INDOOR	11/12/2003
DIAGRAM/OUTDOOR	11/12/2003
SAFE SLEEP POLICY	04/05/2016

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.