MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
KIDDIE GARDEN

Facility DVN
002646471

Phone
(573) 228-6960

Physical Address
4504 N FALLWOOD CT
COLUMBIA
MO 65203-4842

Owner
MOMTAJ, MOSAMMAT HASINA

Mailing Address

Provider/Director

E-mail Address
m.momtaj@yahoo.ca

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
BIRTH - 10 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
01/31/2020

Arrival Time
10:55 AM

Departure Time
11:33 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2374769992

Document	Document-Date
APPLICATION	06/13/2019
EQUIPMENT LIST	06/13/2019
CHILD CARE/DISCIPLINE POLICIES	06/29/2017
DAILY SCHEDULE	06/29/2017
DIAGRAM/INDOOR	05/17/2017
DIAGRAM/OUTDOOR	05/17/2017
POLICIES	06/29/2017
OWNER/PROVIDER REFERENCES	05/25/2017
ASSISTANT REFERENCES	07/20/2017
SAMPLE WEEKLY MENU	06/29/2017
REGISTERING FICTITIOUS NAMES	05/01/2017
FIRE/SAFETY INSPECTION	05/22/2019
SANITATION INSPECTION	05/28/2019

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	Hasina M. was the caregiver with the children. Children range in age from 19 months to 4 years with 1 child under 2 years.