MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BOTTLES TO BANDITS

Facility DVN
002484600

Phone
(573) 433-9710

Physical Address
206 W 4TH ST
DIXON
MO 65459-7906

Owner
DOBA, TARA MARIE

Mailing Address

Provider/Director
DOBA, TARA MARIE

E-mail Address
tmdoba83@icloud.com

Incorporated

Child Care Specialist
ALLA GERASIMOVA

Age Range
BIRTH - 10 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
09/11/2023

Arrival Time
8:50 AM

Departure Time
10:39 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2453788830

Document	Document-Date
APPLICATION	03/24/2021
CHILD CARE/DISCIPLINE POLICIES	04/19/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	04/01/2021
SAFE SLEEP POLICY	05/17/2021
SAMPLE WEEKLY MENU	05/18/2021
POLICIES	05/28/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/07/2021
DIAGRAM/INDOOR	06/07/2021
DIAGRAM/OUTDOOR	06/07/2021
DAILY SCHEDULE	06/22/2021
REGISTERING FICTITIOUS NAMES	09/04/2015
SANITATION INSPECTION	07/24/2023
EQUIPMENT LIST	09/07/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/07/2023
ANNUAL DECLARATION	09/07/2023
FIRE/SAFETY INSPECTION	04/06/2023

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 5

Staff	Child	Class Age	Note
1	5	MIXED	Tara Doba a provider present with five children , including two children 1 year old, two children age 3 years old , and one child age 4 years old.