MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CANFIELD, BERDEINA JILL

Facility DVN
001807307

Phone
(417) 872-7279

Physical Address
1610 E JODY CIR
REPUBLIC
MO 65738-1259

Owner
CANFIELD, BERDEINA JILL

Mailing Address

Provider/Director
CANFIELD, BERDEINA JILL

E-mail Address
mamajill@hotmail.com

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
2 MONTHS - 12 YEARS

Capacity
6

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE 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

Inspection Information

Date
10/11/2024

Arrival Time
2:00 PM

Departure Time
2:58 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2479902435

Document	Document-Date
SAMPLE WEEKLY MENU	09/18/2003
DIAGRAM/OUTDOOR	09/18/2003
DIAGRAM/INDOOR	09/18/2003
DAILY SCHEDULE	10/20/2003
CHILD CARE/DISCIPLINE POLICIES	07/28/2011
OWNER/PROVIDER REFERENCES	09/29/2003
ASSISTANT APPROVAL REQUEST	08/22/2013
ASSISTANT REFERENCES	08/10/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	08/12/2015
SAFETY PLAN	08/18/2023
EQUIPMENT LIST	10/11/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/11/2024
ANNUAL DECLARATION	10/11/2024
SANITATION INSPECTION	06/24/2024
FIRE/SAFETY INSPECTION	07/16/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	5:45PM	7/28/2011

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 4

Staff	Child	Class Age	Note
1	4	MIXED	Berdeina Jill Canfield with 4 children ages 18 months to 3-years-old. This included 3 children under 24 months.