MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
GOODALL, TIFFANY RAE

Facility DVN
002793366

Phone
(417) 546-8581

Physical Address
174 PLYMOUTH RD
FORSYTH
MO 65653-5165

Owner
GOODALL, TIFFANY RAE

Mailing Address
PO BOX 275
FORSYTH
MO 65653-0275

Provider/Director
GOODALL, TIFFANY RAE

E-mail Address
trgoodall2015@gmail.com

Incorporated

Child Care Specialist
PENNY KREITZER

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 6 CHILDREN IN CARE NO MORE THAN 3 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

Inspection Information

Date
12/12/2023

Arrival Time
1:02 PM

Departure Time
1:42 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2460630297

Document	Document-Date
CHILD CARE/DISCIPLINE POLICIES	11/14/2019
DAILY SCHEDULE	11/14/2019
DIAGRAM/INDOOR	11/14/2019
DIAGRAM/OUTDOOR	11/14/2019
POLICIES	11/14/2019
SAMPLE WEEKLY MENU	11/14/2019
SAFE SLEEP POLICY	11/14/2019
ASSISTANT APPROVAL REQUEST	11/14/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/19/2019
ANNUAL DECLARATION	11/27/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/27/2023
EQUIPMENT LIST	11/27/2023
FIRE/SAFETY INSPECTION	09/06/2023
SANITATION INSPECTION	09/26/2023

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 1

Total Children 5

Staff	Child	Class Age	Note
1	5	MIXED	Tiffany Goodall, Provider, with 1 one year old child, 1 two year old child, and 3 preschool age children.