MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
TARILYN BELANGER LLC

Facility DVN
002756576

Phone
(573) 814-9061

Physical Address
14391 S CRUMP LN
ASHLAND
MO 65010-9101

Owner
TARILYN BELANGER LLC

Mailing Address

Provider/Director
BELANGER, TARILYN DAWN

E-mail Address
tarilyn_belanger@hotmail.com

Incorporated

Child Care Specialist
JIM PARSLEY

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

Inspection Information

Date
12/20/2021

Arrival Time
9:10 AM

Departure Time
10:16 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2415014676

Document	Document-Date
APPLICATION	01/25/2019
FIRE/SAFETY INSPECTION	01/12/2021
EQUIPMENT LIST	05/18/2021
LLC ARTICLES OF ORGANIZATION	02/25/2019
DAILY SCHEDULE	02/25/2019
SAMPLE WEEKLY MENU	02/25/2019
CHILD CARE/DISCIPLINE POLICIES	02/25/2019
POLICIES	02/25/2019
OWNER/PROVIDER REFERENCES	03/13/2019
DIAGRAM/INDOOR	01/25/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/25/2019
DIAGRAM/OUTDOOR	01/25/2019
SANITATION INSPECTION	02/09/2021
LLC OPERATING AGREEMENT	04/16/2019
ASSISTANT APPROVAL REQUEST	04/16/2019
SAFE SLEEP POLICY	04/16/2019
ASSISTANT REFERENCES	05/02/2019
ANNUAL DECLARATION	02/04/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/04/2021
LICENSING ORIENTATION	02/25/2019
SAFETY PLAN	02/04/2021

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 9

Staff	Child	Class Age	Note
1	9	MIXED	There were 9 children 13 months through 4 years of age in care, including 1 child under 2 years of age, being supervised by Tarilyn Belanger.


5 CSR 25-400.025 Organization and Administration Compliance
5 CSR 25-400.045 Licensing Process Compliance
5 CSR 25-400.055 Annual Requirements Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Compliance
5 CSR 25-400.086 Fire Safety Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Compliance
5 CSR 25-400.115 Day Care Family and Household Compliance
5 CSR 25-400.125 Medical Examination Reports Compliance
5 CSR 25-400.135 Admission Policies and Procedures Compliance
5 CSR 25-400.145 Nighttime Care Compliance
5 CSR 25-400.155 Overlap Care of Children Compliance
5 CSR 25-400.165 Emergency School Closings Compliance
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Compliance
5 CSR 25-400.190 Nutrition and Food Service Compliance
5 CSR 25-400.200 Transportation and Field Trips Not Observed
5 CSR 25-400.210 Records and Reports Compliance
5 CSR 25-600.020 Background Screening Findings Compliance
5 CSR 25-600.040 General Requirements 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