MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
NICHOLSEN, BRITTANY

Facility DVN
002725984

Phone
(402) 926-6530

Physical Address
307 S CAMDEN ST
RICHMOND
MO 64085-1657

Owner
NICHOLSEN, BRITTANY RENAY

Mailing Address

Provider/Director
NICHOLSEN, BRITTANY RENAY

E-mail Address
BRHANS0503@GMAIL.COM

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
BIRTH - 5 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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
04/01/2022

Arrival Time
9:00 AM

Departure Time
10:14 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2420794404

Document	Document-Date
SAFE SLEEP POLICY	06/22/2018
APPLICATION	04/26/2018
DIAGRAM/INDOOR	04/30/2018
FIRE/SAFETY INSPECTION	07/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/05/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	06/05/2019
DIAGRAM/OUTDOOR	06/05/2019
EQUIPMENT LIST	10/04/2021
ASSISTANT REFERENCES	06/20/2019
DAILY SCHEDULE	06/13/2019
POLICIES	06/13/2019
CHILD CARE/DISCIPLINE POLICIES	06/13/2019
OWNER/PROVIDER REFERENCES	06/13/2019
SAMPLE WEEKLY MENU	06/13/2019
SANITATION INSPECTION	06/01/2021
ASSISTANT APPROVAL REQUEST	08/20/2019
ANNUAL DECLARATION	09/27/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/04/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:00PM	4:00PM	6/5/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 11

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 8

Staff	Child	Class Age	Note
1	8	MIXED	5 months-4 years. Two under the age of 2 years. Ashely Carey, staff