MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
DOLLINS, BELINDA

Facility DVN
000939613

Phone
(573) 888-1660

Physical Address
2132 EASTWOOD AVE
KENNETT
MO 63857-2322

Owner
DOLLINS, BELINDA

Mailing Address

Provider/Director
DOLLINS, BELINDA

E-mail Address
belindadollins@clgw.net

Incorporated

Child Care Specialist
KATIE COPELAND

Age Range
6 WEEKS - 12 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
02/28/2025

Arrival Time
10:10 AM

Departure Time
10:31 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2488220799

Document	Document-Date
ASSISTANT APPROVAL REQUEST	03/27/2017
OWNER/PROVIDER REFERENCES	05/09/1997
SAMPLE WEEKLY MENU	05/20/1997
CHILD CARE/DISCIPLINE POLICIES	05/20/1997
POLICIES	05/20/1997
DAILY SCHEDULE	05/20/1997
ASSISTANT REFERENCES	05/13/2015
DIAGRAM/INDOOR	05/20/1997
DIAGRAM/OUTDOOR	05/20/1997
SAFE SLEEP POLICY	11/29/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/25/2018
APPLICATION	03/25/2019
CERTIFICATE OF INCORPORATION	06/08/2020
EQUIPMENT LIST	07/03/2024
SANITATION INSPECTION	04/09/2024
ANNUAL DECLARATION	07/02/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/03/2024
FIRE/SAFETY INSPECTION	04/18/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:15AM	12:15PM	11/28/2017
3:15PM	4:15PM	11/28/2017

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 7

Staff	Child	Class Age	Note
1	7	MIXED	Belinda Dollins, Provider 1 - 4 Month Old 1 - 22 Month Old 1 - 2 Year Old 4 - 3-5 Year Olds