MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FODERBERG, MICHELLE E

Facility DVN
002379439

Phone
(816) 507-0503

Physical Address
2008 NE 91ST ST
KANSAS CITY
MO 64155

Owner
FODERBERG, MICHELLE E

Mailing Address

Provider/Director
FODERBERG, MICHELLE E

E-mail Address
foderberg@hotmail.com

Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
BIRTH - 5 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

Inspection Information

Date
01/22/2025

Arrival Time
9:00 AM

Departure Time
10:09 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2486081630

Document	Document-Date
ASSISTANT REFERENCES	11/29/2012
ASSISTANT APPROVAL REQUEST	01/22/2013
SAMPLE WEEKLY MENU	01/22/2013
POLICIES	01/23/2013
OWNER/PROVIDER REFERENCES	12/04/2012
DAILY SCHEDULE	01/22/2013
CHILD CARE/DISCIPLINE POLICIES	01/23/2013
DIAGRAM/OUTDOOR	01/22/2013
DIAGRAM/INDOOR	01/22/2013
APPLICATION	10/31/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/23/2013
SAFE SLEEP POLICY	01/04/2016
ANNUAL DECLARATION	01/17/2024
EQUIPMENT LIST	01/17/2024
FIRE/SAFETY INSPECTION	10/11/2023
SANITATION INSPECTION	04/15/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/17/2024

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 9

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 6

Staff	Child	Class Age	Note
1	6	MIXED	provider Michelle Foderberg with six children; two under 24-months-old, one 2-years-old, three 3-to-5-years-old