MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MAXWELL, ROBERTA CATHERINE

Facility DVN
001869867

Phone
(417) 529-7570

Physical Address
106 CAMBRIDGE ST
CARL JUNCTION
MO 64834-9116

Owner
MAXWELL, ROBERTA CATHERINE

Mailing Address

Provider/Director
MAXWELL, ROBERTA CATHERINE

E-mail Address
cathymaxwell52@yahoo.com

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
3 MONTHS - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; 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 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
10/26/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2457219426

Document	Document-Date
SAMPLE WEEKLY MENU	10/04/2012
POLICIES	09/04/2008
OWNER/PROVIDER REFERENCES	08/27/2004
DIAGRAM/OUTDOOR	10/04/2012
DIAGRAM/INDOOR	10/04/2004
DAILY SCHEDULE	10/04/2004
CHILD CARE/DISCIPLINE POLICIES	09/04/2008
ASSISTANT REFERENCES	08/17/2012
ASSISTANT APPROVAL REQUEST	08/09/2016
EQUIPMENT LIST	09/13/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/16/2023
ANNUAL DECLARATION	09/13/2023
SANITATION INSPECTION	07/13/2023
FIRE/SAFETY INSPECTION	07/18/2023
SAFE SLEEP POLICY	10/17/2023

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	10/24/2022

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.