MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
SMEDLEY, AMY DAWN

Facility DVN
001405812

Phone
(660) 414-6012

Physical Address
1004 S BAKER AVE
SALISBURY
MO 65281-1202

Owner
SMEDLEY, AMY DAWN

Mailing Address

Provider/Director
SMEDLEY, AMY DAWN

E-mail Address
JASMEDLEY5@hotmail.com

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
6 WEEKS - 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; 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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
12/13/2023

Arrival Time
8:00 AM

Departure Time
9:07 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2460688001

Document	Document-Date
APPLICATION	08/15/2019
SANITATION INSPECTION	08/03/2023
EQUIPMENT LIST	12/13/2023
FIRE/SAFETY INSPECTION	07/13/2023
ANNUAL DECLARATION	11/27/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/13/2023

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	12 months-3 years two under the age of 2 years. Amy Smedley, staff