MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ROSIN, AMELIA M

Facility DVN
002741840

Phone
(816) 602-3121

Physical Address
206 MARY WAY
BELTON
MO 64012-3268

Owner
ROSIN, AMELIA M

Mailing Address

Provider/Director
ROSIN, AMELIA M

E-mail Address
AMELIA_ROSIN@YAHOO.COM

Incorporated

Child Care Specialist
KRYSTAL WILLIAMS

Age Range
6 WEEKS - 13 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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
10/03/2023

Arrival Time
10:10 AM

Departure Time
10:38 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2455916069

Document	Document-Date
APPLICATION	12/07/2018
DIAGRAM/INDOOR	12/20/2018
DIAGRAM/OUTDOOR	12/20/2018
SAMPLE WEEKLY MENU	12/20/2018
SAMPLE FORMS	12/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	01/22/2019
OWNER/PROVIDER REFERENCES	01/28/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/01/2019
DAILY SCHEDULE	02/01/2019
ASSISTANT REFERENCES	02/01/2019
ASSISTANT APPROVAL REQUEST	02/01/2019
CHILD CARE/DISCIPLINE POLICIES	02/11/2019
SAFE SLEEP POLICY	02/11/2019
POLICIES	02/11/2019
SANITATION INSPECTION	01/05/2023
FIRE/SAFETY INSPECTION	02/08/2023
ANNUAL DECLARATION	03/21/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/31/2023
EQUIPMENT LIST	03/31/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:15PM	5:15PM	10/22/2019
7:30AM	8:00AM	10/22/2019

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 2

Total Children 5

Staff	Child	Class Age	Note
2	5	MIXED	Provider Amelia Rosin and Asst Ryan Rosin with five children, 18-month-old, 2-year-old, 3-year-old, 6-month-old(related child), and 2-year-old(related child)