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
04/28/2025

Arrival Time
9:57 AM

Departure Time
9:57 AM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2492154277

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	01/22/2025
FIRE/SAFETY INSPECTION	10/02/2024
SANITATION INSPECTION	11/05/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/22/2025
EQUIPMENT LIST	02/03/2025

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.