MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HERNANDEZ, INES TRINIDAD

Facility DVN
001928310

Phone
(573) 442-4416

Physical Address
3100 FOX TROT DR
COLUMBIA
MO 65202-1482

Owner
HERNANDEZ, INES TRINIDAD

Mailing Address

Provider/Director
HERNANDEZ, INES TRINIDAD

E-mail Address
ABIGSCRUB@YAHOO.COM

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
05/25/2021

Arrival Time
9:00 AM

Departure Time
9:55 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2400917287

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/09/2020
ANNUAL DECLARATION	11/09/2020
CHILD CARE/DISCIPLINE POLICIES	08/17/2005
POLICIES	08/17/2008
OWNER/PROVIDER REFERENCES	09/06/2005
SAMPLE FORMS	07/05/2001
SAMPLE WEEKLY MENU	08/17/2005
DAILY SCHEDULE	09/28/2008
DIAGRAM/OUTDOOR	08/17/2005
DIAGRAM/INDOOR	08/17/2005
ARTICLES OF INCORPORATION	08/17/2005
ASSISTANT APPROVAL REQUEST	09/30/2015
ASSISTANT REFERENCES	09/30/2015
APPLICATION	08/05/2019
EQUIPMENT LIST	11/30/2020
FIRE/SAFETY INSPECTION	09/14/2020
SANITATION INSPECTION	08/13/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:50PM	4:50PM	8/4/2010
7:00AM	8:00AM	3/8/2010

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 8

Staff	Child	Class Age	Note
2	8	MIXED	Ines Hernandez and Christian Robinson were the caregivers with the children. Children range in age from 6 months to 3 years with 3 children under 2 years of age.


19 CSR 30-61.025 Organization and Administration Compliance
19 CSR 30-61.045 Licensing Process Compliance
19 CSR 30-61.055 Annual Requirements Compliance
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home Compliance
19 CSR 30-61.086 Fire Safety Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-61.095 Furniture, Equipment and Materials Compliance
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel Compliance
19 CSR 30-61.115 Day Care Family and Household Compliance
19 CSR 30-61.125 Medical Examination Reports Compliance
19 CSR 30-61.135 Admission Policies and Procedures Compliance
19 CSR 30-61.145 Nighttime Care Compliance
19 CSR 30-61.155 Overlap Care of Children Compliance
19 CSR 30-61.165 Emergency School Closings Compliance
19 CSR 30-61.175 Child Care Program Compliance
19 CSR 30-61.185 Health Care Compliance
19 CSR 30-61.190 Nutrition and Food Service Compliance
19 CSR 30-61.200 Transportation and Field Trips Compliance
19 CSR 30-61.210 Records and Reports Compliance
19 CSR 30-63.020 General Requirements Compliance
19 CSR 30-63.040 Background Screening Findings Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when. Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance