MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MCMILLIN, PEGGY J.

Facility DVN
000485069

Phone
(816) 331-4437

Physical Address
513 W CAMBRIDGE RD
BELTON
MO 64012-3175

Owner
MCMILLIN, PEGGY J.

Mailing Address

Provider/Director
MCMILLIN, PEGGY J.

E-mail Address
WMCMILLIN@KC.RR.COM

Incorporated

Child Care Specialist
JANA BARTON

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
04/04/2022

Arrival Time
11:30 AM

Departure Time
12:15 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2420918262

Document	Document-Date
SANITATION INSPECTION	01/04/2022
SAMPLE FORMS	06/01/1995
SAMPLE WEEKLY MENU	04/20/1995
DAILY SCHEDULE	04/20/1995
CHILD CARE/DISCIPLINE POLICIES	12/07/1998
DIAGRAM/OUTDOOR	03/26/1997
DIAGRAM/INDOOR	03/26/1997
ASSISTANT APPROVAL REQUEST	12/05/2014
APPLICATION	10/27/2016
ASSISTANT REFERENCES	12/05/2014
OWNER/PROVIDER REFERENCES	04/04/1995
POLICIES	03/26/1997
FIRE/SAFETY INSPECTION	03/14/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/19/2022
EQUIPMENT LIST	01/19/2022
ANNUAL DECLARATION	01/19/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:00PM	1/13/2015
7:45AM	8:15AM	1/28/2001

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 5

Staff	Child	Class Age	Note
1	5	MIXED	provider with two 2 year olds, two 3 year olds, and one 5 year old


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 Not Observed
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 Compliance
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