MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
DAVIS, TINA DIANE

Facility DVN
000437914

Phone
(660) 621-3041

Physical Address
23373 BOONVILLE RD
BOONVILLE
MO 65233

Owner
DAVIS, TINA DIANE

Mailing Address

Provider/Director
DAVIS, TINA DIANE

E-mail Address
busybeemom2003@yahoo.com

Incorporated

Child Care Specialist
LU A GAINES

Age Range
BIRTH - 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
03/14/2025

Arrival Time
11:57 AM

Departure Time
12:27 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2489112108

Document	Document-Date
ASSISTANT APPROVAL REQUEST	07/10/2013
SAFE SLEEP POLICY	01/15/2016
ASSISTANT REFERENCES	08/26/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/02/2012
SAMPLE WEEKLY MENU	08/07/1991
OWNER/PROVIDER REFERENCES	06/20/1991
CHILD CARE/DISCIPLINE POLICIES	07/23/1997
DIAGRAM/INDOOR	07/13/2010
DIAGRAM/OUTDOOR	04/02/2002
POLICIES	08/20/2018
DAILY SCHEDULE	08/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	03/07/2019
APPLICATION	07/30/2019
EQUIPMENT LIST	09/04/2024
FIRE/SAFETY INSPECTION	07/23/2024
SANITATION INSPECTION	09/13/2024
ANNUAL DECLARATION	09/04/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/04/2024

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	7/19/2011

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 2

Staff	Child	Class Age	Note
1	2	SCHOOL AGE	Provider Tina Davis with two children, 6-7 -years-old.