MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HERDMAN, PEGGY

Facility DVN
000472519

Phone
(816) 322-1178

Physical Address
205 CHEROKEE DR
BELTON
MO 64012-2911

Owner
HERDMAN, PEGGY

Mailing Address

Provider/Director
HERDMAN, PEGGY

E-mail Address
haymanlee9@gmail.com

Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
6 WEEKS - 16 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; 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 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
08/22/2022

Arrival Time
4:20 PM

Departure Time
4:20 PM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2429677466

Document	Document-Date
OWNER/PROVIDER REFERENCES	05/04/1992
SAMPLE WEEKLY MENU	05/20/1992
SAMPLE FORMS	05/04/1992
DAILY SCHEDULE	05/20/1992
CHILD CARE/DISCIPLINE POLICIES	05/20/1992
DIAGRAM/OUTDOOR	03/06/2002
DIAGRAM/INDOOR	03/06/2002
ASSISTANT REFERENCES	05/03/2010
ASSISTANT APPROVAL REQUEST	05/03/2010
POLICIES	04/29/1992
APPLICATION	05/07/2020
ANNUAL DECLARATION	07/28/2022
EQUIPMENT LIST	07/28/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/28/2022
FIRE/SAFETY INSPECTION	03/21/2022
SANITATION INSPECTION	05/27/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	5:30PM	5/3/2010
7:30AM	8:00AM	5/3/2010

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Violation
5 CSR 25-400.055 Annual Requirements Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Not Observed
5 CSR 25-400.086 Fire Safety Not Observed
5 CSR 25-400.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Not Observed
5 CSR 25-400.115 Child Care Family and Household Not Observed
5 CSR 25-400.125 Medical Examination Reports Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Not Observed
5 CSR 25-400.145 Nighttime Care Not Observed
5 CSR 25-400.155 Overlap Care of Children Not Observed
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Not Observed
5 CSR 25-400.185 Health Care Not Observed
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Not Observed
5 CSR 25-400.210 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance