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
08/29/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2430052278

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: 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.