MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
FORWARD, PATRICIA

Facility DVN
000479932

Phone
(573) 999-5992

Physical Address
310 E OLD PLANK RD
COLUMBIA
MO 65203

Owner
FORWARD, PATRICIA

Mailing Address

Provider/Director
FORWARD, PATRICIA

E-mail Address
pdforward@msn.com

Incorporated

Child Care Specialist
LU A GAINES

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
09/02/2025

Arrival Time
9:07 AM

Departure Time
10:12 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2499504337

Document	Document-Date
OWNER/PROVIDER REFERENCES	07/24/1992
POLICIES	06/23/2010
DAILY SCHEDULE	07/28/1996
ASSISTANT REFERENCES	07/30/2010
ASSISTANT APPROVAL REQUEST	07/30/2010
CHILD CARE/DISCIPLINE POLICIES	06/23/2010
SAMPLE WEEKLY MENU	07/24/1992
DIAGRAM/OUTDOOR	07/24/1992
DIAGRAM/INDOOR	04/16/1998
APPLICATION	06/06/2018
EQUIPMENT LIST	08/25/2025
FIRE/SAFETY INSPECTION	06/17/2025
SANITATION INSPECTION	08/15/2025
ANNUAL DECLARATION	08/25/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/25/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:45PM	4:45PM	1/11/2016

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 8

Staff	Child	Class Age	Note
1	8	MIXED	Provider Patricia Forward on site with two children, 13-17 months, one child, 2 years old, four children, 3-4-years-old, and one child, 5-years-old.