MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FEESE, KYLIE JEAN

Facility DVN
001332696

Phone
(314) 540-3496

Physical Address
409 E EUCLID AVE
SULLIVAN
MO 63080-1715

Owner
FEESE, KYLIE JEAN

Mailing Address

Provider/Director
FEESE, KYLIE JEAN

E-mail Address
jkfeese@yahoo.com

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
BIRTH - 13 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
06/15/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2425495810

Document	Document-Date
DAILY SCHEDULE	08/11/2003
SAMPLE WEEKLY MENU	04/14/2010
SAFE SLEEP POLICY	09/29/2017
POLICIES	04/17/2020
CHILD CARE/DISCIPLINE POLICIES	04/17/2020
DIAGRAM/INDOOR	09/10/2001
DIAGRAM/OUTDOOR	09/10/2001
ASSISTANT APPROVAL REQUEST	03/18/2020
OWNER/PROVIDER REFERENCES	07/14/1999
APPLICATION	03/06/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/17/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/02/2022
ANNUAL DECLARATION	04/19/2022
SANITATION INSPECTION	02/08/2022
EQUIPMENT LIST	04/19/2022
FIRE/SAFETY INSPECTION	03/02/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	4:30PM	12/27/2013
7:00AM	7:30AM	12/27/2013

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.