MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FISHER, CLARISSA

Facility DVN
002644062

Phone
(573) 814-0133

Physical Address
1619 N DOULTON DR
COLUMBIA
MO 65202-5456

Owner
FISHER, CLARISSA MICHELLE

Mailing Address

Provider/Director

E-mail Address
cfisher04@gmail.com

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; 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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
02/04/2020

Arrival Time
8:15 AM

Departure Time
8:59 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2375132712

Document	Document-Date
ASSISTANT REFERENCES	09/12/2018
OWNER/PROVIDER REFERENCES	09/12/2018
SAFE SLEEP POLICY	09/12/2018
POLICIES	09/12/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/19/2018
DIAGRAM/INDOOR	04/19/2018
DIAGRAM/OUTDOOR	04/19/2018
APPLICATION	04/19/2018
SAMPLE WEEKLY MENU	08/29/2018
EQUIPMENT LIST	04/19/2018
SAMPLE FORMS	04/19/2018
CHILD CARE/DISCIPLINE POLICIES	09/12/2018
DAILY SCHEDULE	09/12/2018
FIRE/SAFETY INSPECTION	07/18/2019
SANITATION INSPECTION	07/30/2019

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 2

Total Children 5

Staff	Child	Class Age	Note
2	5	MIXED	Clarissa Fisher and Jeremy Lee were the caregivers with the children. Children range in age from 1 1/2 years to 4 years with 3 children under 2 years.