MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BLANKENSHIP, TAMMY MISHELL

Facility DVN
001988612

Phone
(573) 793-2006

Physical Address
838 W HIGHWAY 42
IBERIA
MO 65486-9330

Owner
BLANKENSHIP, TAMMY MISHELL

Mailing Address
PO BOX 143
IBERIA
MO 65486-0143

Provider/Director
BLANKENSHIP, TAMMY MISHELL

E-mail Address
blankenship07@windstream.net

Incorporated

Child Care Specialist
LACEY BERENDZEN

Age Range
BIRTH - 12 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
8:35 AM

Departure Time
10:14 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2440838623

Document	Document-Date
APPLICATION	10/22/2020
DAILY SCHEDULE	11/04/2020
SAMPLE WEEKLY MENU	11/04/2020
SAFE SLEEP POLICY	01/12/2021
SAMPLE FORMS	01/12/2021
POLICIES	01/28/2021
CHILD CARE/DISCIPLINE POLICIES	01/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/29/2021
DIAGRAM/INDOOR	01/29/2021
DIAGRAM/OUTDOOR	01/29/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	02/05/2021
LICENSING ORIENTATION	10/22/2020
FIRE/SAFETY INSPECTION	10/24/2022
EQUIPMENT LIST	01/27/2023
SANITATION INSPECTION	01/17/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/27/2023
ANNUAL DECLARATION	01/27/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:30PM	4:30PM	3/17/2021

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 9

Staff	Child	Class Age	Note
1	9	MIXED	Tammy Blankenship with 9 children. One child age 1 year old, one child age 2 years old, two children age 3 years old, four children age 4 years old, and one child age 5 years old.