MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SMITH, ELISA DANIELLE

Facility DVN
002494644

Phone
(636) 795-9316

Physical Address
219 FOREST HILLS DR
EUREKA
MO 63025-2139

Owner
SMITH, ELISA DANIELLE

Mailing Address

Provider/Director
SMITH, ELISA DANIELLE

E-mail Address
bandesmith@yahoo.com

Incorporated

Child Care Specialist
MICHELLE (SHELLEY) TRUESDALE

Age Range
6 WEEKS - 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

Inspection Information

Date
10/26/2021

Arrival Time
11:30 AM

Departure Time
12:03 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2405621979

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/06/2021
ANNUAL DECLARATION	03/10/2021
DAILY SCHEDULE	07/01/2015
DIAGRAM/OUTDOOR	07/01/2015
CHILD CARE/DISCIPLINE POLICIES	07/01/2015
DIAGRAM/INDOOR	07/01/2015
POLICIES	07/01/2015
SAMPLE WEEKLY MENU	07/01/2015
OWNER/PROVIDER REFERENCES	07/13/2015
ASSISTANT APPROVAL REQUEST	07/10/2015
SAMPLE FORMS	07/01/2015
APPLICATION	04/25/2019
EQUIPMENT LIST	03/10/2021
SANITATION INSPECTION	06/03/2020
FIRE/SAFETY INSPECTION	08/24/2020
SAFE SLEEP POLICY	07/07/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/24/2017

Overlap Start Time	Overlap End Time	Overlap Submit Date
8:00AM	9:00AM	8/31/2015

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Caregiver Elisa Smith with a 2 month-old, a 21 month-old, two 2 year-olds, a 3 year-old, and a 4 year-old