MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HERRING, ETHEL

Facility DVN

Phone
(660) 247-0474

Physical Address
1124 HILLSIDE DR
CHILLICOTHE
MO 64601-0

Owner
HERRING, ETHEL

Mailing Address

Provider/Director
HERRING, ETHEL

E-mail Address
nanna_ethel@hotmail.com

Incorporated

Child Care Specialist
ELLEN DONOHO

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
01/10/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2415669406

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/07/2022
ASSISTANT REFERENCES	07/25/2011
SAMPLE FORMS	04/16/2012
SAMPLE WEEKLY MENU	12/16/1998
OWNER/PROVIDER REFERENCES	12/04/1998
DAILY SCHEDULE	12/16/1998
DIAGRAM/OUTDOOR	12/16/1998
DIAGRAM/INDOOR	12/16/1998
ASSISTANT APPROVAL REQUEST	08/15/2012
CHILD CARE/DISCIPLINE POLICIES	11/09/2016
POLICIES	11/09/2016
APPLICATION	10/07/2018
FIRE/SAFETY INSPECTION	09/22/2021
SANITATION INSPECTION	10/28/2021
EQUIPMENT LIST	01/07/2022
ANNUAL DECLARATION	12/30/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	11/10/2010

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.