MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
FODERBERG, MICHELLE E

Facility DVN
002379439

Phone
(816) 507-0503

Physical Address
2008 NE 91ST ST
KANSAS CITY
MO 64155

Owner
FODERBERG, MICHELLE E

Mailing Address

Provider/Director
FODERBERG, MICHELLE E

E-mail Address
foderberg@hotmail.com

Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
BIRTH - 5 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
02/07/2023

Arrival Time
9:30 AM

Departure Time
9:55 AM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2440637644

Document	Document-Date
ASSISTANT REFERENCES	11/29/2012
ASSISTANT APPROVAL REQUEST	01/22/2013
SAMPLE WEEKLY MENU	01/22/2013
POLICIES	01/23/2013
OWNER/PROVIDER REFERENCES	12/04/2012
DAILY SCHEDULE	01/22/2013
CHILD CARE/DISCIPLINE POLICIES	01/23/2013
DIAGRAM/OUTDOOR	01/22/2013
DIAGRAM/INDOOR	01/22/2013
APPLICATION	10/31/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/23/2013
SAFE SLEEP POLICY	01/04/2016
ANNUAL DECLARATION	01/30/2023
EQUIPMENT LIST	01/30/2023
FIRE/SAFETY INSPECTION	10/03/2022
SANITATION INSPECTION	10/25/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/30/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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	caregiver Michelle Foderberg with seven children, two under 12 months, one 2-years old, three 3-years, one 5-years


5 CSR 25-400.025 Organization and Administration Not Observed
5 CSR 25-400.045 Licensing Process Not Observed
5 CSR 25-400.055 Annual Requirements Violation
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Violation
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 Violation
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Violation
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