MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
LEWIS, HOLLY LYNN

Facility DVN
002186781

Phone
(785) 577-2190

Physical Address
1221 SW SUMMIT CROSSING DR
LEES SUMMIT
MO 64081-3264

Owner
LEWIS, HOLLY LYNN

Mailing Address

Provider/Director
LEWIS, HOLLY LYNN

E-mail Address
holly.lewis082884@yahoo.com

Incorporated

Child Care Specialist
RACHEL CATRELL

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; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS

Inspection Information

Date
02/07/2024

Arrival Time
11:05 AM

Departure Time
11:44 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2463882691

Document	Document-Date
ANNUAL DECLARATION	01/18/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/18/2024
EQUIPMENT LIST	01/18/2024
SANITATION INSPECTION	01/24/2024
FIRE/SAFETY INSPECTION	01/23/2024

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 2

Total Children 9

Staff	Child	Class Age	Note
2	9	MIXED	Caregivers Holly Lewis and Sherman Lewis with 10 children. Children are aged 4 months, 1 year old, and 3-2 year olds, 2-3 year olds, 4 year old, and a 5 year old.