MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FOREMAN, NATALIE

Facility DVN
001127328

Phone
(417) 667-5965

Physical Address
926 N MAIN ST
NEVADA
MO 64772-1421

Owner
FOREMAN, NATALIE

Mailing Address

Provider/Director
FOREMAN, NATALIE

E-mail Address
NATALIEFOREMAN@SBCGLOBAL.NET

Incorporated

Child Care Specialist
MARY C MALOID

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 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; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
12/01/2022

Arrival Time
1:30 PM

Departure Time
2:05 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2436389093

Document	Document-Date
SAMPLE WEEKLY MENU	04/27/1998
POLICIES	05/01/2008
OWNER/PROVIDER REFERENCES	04/30/1998
DIAGRAM/OUTDOOR	06/03/1998
DIAGRAM/INDOOR	04/13/1998
DAILY SCHEDULE	05/13/1998
CHILD CARE/DISCIPLINE POLICIES	05/01/2008
APPLICATION	04/04/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/04/2018
SAFE SLEEP POLICY	04/04/2018
ASSISTANT APPROVAL REQUEST	04/17/2018
FIRE/SAFETY INSPECTION	03/22/2022
ANNUAL DECLARATION	04/22/2022
EQUIPMENT LIST	04/22/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/22/2022
SANITATION INSPECTION	06/01/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	4/4/2018

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 10

Staff	Child	Class Age	Note
1	10	MIXED	Caregiver NF with 10 children: two eighteen month olds, 4 two year olds, three three year olds, and one four 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 Child 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 General Requirements Compliance
5 CSR 25-600.040 Background Screening Findings 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