MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MULLEN, KASSANDRA KAY

Facility DVN
002764432

Phone
(573) 418-7580

Physical Address
1008 CEDAR ST
CALIFORNIA
MO 65018-5407

Owner
MULLEN, KASSANDRA KAY

Mailing Address

Provider/Director
MULLEN, KASSANDRA KAY

E-mail Address
katiemullen84@gmail.com

Incorporated

Child Care Specialist
SHELBY N KOETTING

Age Range
BIRTH - 10 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

Inspection Information

Date
03/18/2021

Arrival Time
10:15 AM

Departure Time
11:07 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2396313076

Document	Document-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/07/2020
SAMPLE FORMS	07/15/2020
SANITATION INSPECTION	07/06/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	07/15/2020
POLICIES	07/20/2020
SAFE SLEEP POLICY	07/21/2020
FIRE/SAFETY INSPECTION	07/13/2020
DAILY SCHEDULE	07/21/2020
CHILD CARE/DISCIPLINE POLICIES	07/20/2020
APPLICATION	07/20/2020
EQUIPMENT LIST	07/20/2020
SAMPLE WEEKLY MENU	07/21/2020
DIAGRAM/OUTDOOR	07/20/2020
DIAGRAM/INDOOR	07/20/2020
ASSISTANT APPROVAL REQUEST	12/17/2020

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 9

Staff	Child	Class Age	Note
1	9	MIXED	Kassandra Mullen with 9 children (2 under 2 years).