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
03/14/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2443011393

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: 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.