MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
KIDDIE GARDEN

Facility DVN
002646471

Phone
(573) 228-6960

Physical Address
4504 N FALLWOOD CT
COLUMBIA
MO 65203-4842

Owner
MOMTAJ, MOSAMMAT HASINA

Mailing Address

Provider/Director
MOMTAJ, MOSAMMAT HASINA

E-mail Address
m.momtaj@yahoo.ca

Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
BIRTH - 10 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
04/05/2022

Arrival Time
10:00 AM

Departure Time
10:26 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2421070841

Document	Document-Date
ANNUAL DECLARATION	09/06/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/06/2021
CHILD CARE/DISCIPLINE POLICIES	06/29/2017
DAILY SCHEDULE	06/29/2017
DIAGRAM/INDOOR	05/17/2017
DIAGRAM/OUTDOOR	05/17/2017
POLICIES	06/29/2017
OWNER/PROVIDER REFERENCES	05/25/2017
ASSISTANT REFERENCES	07/20/2017
SAMPLE WEEKLY MENU	06/29/2017
REGISTERING FICTITIOUS NAMES	05/01/2017
APPLICATION	06/13/2019
EQUIPMENT LIST	09/06/2021
FIRE/SAFETY INSPECTION	06/15/2021
SANITATION INSPECTION	05/03/2021

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 7

Staff	Child	Class Age	Note
1	7	MIXED	2 children under age two (ages 16 months and 18 months); 5 children ages two to four; Hasina Momtaj


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 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