MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HITSMAN, MICHELLE ANN

Facility DVN
000809110

Phone
(660) 888-9927

Physical Address
1053 HWY 5 & 240
FAYETTE
MO 65248

Owner
HITSMAN, MICHELLE ANN

Mailing Address

Provider/Director
HITSMAN, MICHELLE ANN

E-mail Address
michellehitsman@hotmail.com

Incorporated

Child Care Specialist
LU A GAINES

Age Range
BIRTH - 9 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
10/03/2025

Arrival Time
9:32 AM

Departure Time
10:21 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2501222104

Document	Document-Date
ASSISTANT APPROVAL REQUEST	04/02/2012
SAFE SLEEP POLICY	01/21/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/10/2012
OWNER/PROVIDER REFERENCES	07/28/1997
DAILY SCHEDULE	06/30/1997
CHILD CARE/DISCIPLINE POLICIES	06/30/1997
POLICIES	06/30/1997
SAMPLE WEEKLY MENU	06/30/1997
DIAGRAM/INDOOR	08/31/1998
DIAGRAM/OUTDOOR	08/31/1998
LOCAL FIRE DEPARTMENT NOTIFICATION	08/17/2018
ASSISTANT REFERENCES	09/12/2018
APPLICATION	05/15/2020
SAMPLE FORMS	04/13/2022
EQUIPMENT LIST	06/01/2025
SANITATION INSPECTION	07/01/2025
FIRE/SAFETY INSPECTION	06/13/2025
ANNUAL DECLARATION	06/01/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/01/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:00AM	12:00PM	12/5/2022
4:00PM	5:00PM	12/5/2022

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 9

Staff	Child	Class Age	Note
1	9	MIXED	Provider Michelle Hitsman with one child, 9-months-old, 4 children, 2-years-old, and four children, 3-4-years-old.