MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ORF, ROBERTA LYN

Facility DVN
001909760

Phone
(573) 470-1223

Physical Address
1011 HIGHWAY 161
BOWLING GREEN
MO 63334-2434

Owner
ORF, ROBERTA LYN

Mailing Address
PO BOX 413
BOWLING GREEN
MO 63334-0413

Provider/Director
ORF, ROBERTA LYN

E-mail Address
EIBORFRO@SBCGLOBAL.NET

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

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
03/23/2022

Arrival Time
12:00 PM

Departure Time
12:51 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2420235731

Document	Document-Date
APPLICATION	05/02/2019
EQUIPMENT LIST	05/02/2019
FIRE/SAFETY INSPECTION	06/15/2020
SANITATION INSPECTION	09/17/2020
OWNER/PROVIDER REFERENCES	03/07/2005
DAILY SCHEDULE	05/05/2005
CHILD CARE/DISCIPLINE POLICIES	05/05/2005
POLICIES	05/05/2005
SAMPLE WEEKLY MENU	08/19/2005
DIAGRAM/INDOOR	08/24/2005
DIAGRAM/OUTDOOR	08/24/2005

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	6/6/2013

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	Roberta Orf , child care provider was present with 6 children ages 10 months to 5 years. 2 children under age of 2 and 4 children age 2 to 5. One adult household member present at the inspection.