MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ORF, ROBERTA LYN

Facility DVN
001909760

Phone
(573) 470-1223

Physical Address
1011 HIGHWAY 161
BOWLING GREEN
MO 63334-2434

Owner
ORF, ROBERTA LYN

Mailing Address
PO BOX 413
BOWLING GREEN
MO 63334-0413

Provider/Director
ORF, ROBERTA LYN

E-mail Address
EIBORFRO@SBCGLOBAL.NET

Incorporated

Child Care Specialist
AMY MITCHELL

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
12/03/2025

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2504609519

Document	Document-Date
APPLICATION	05/02/2019
OWNER/PROVIDER REFERENCES	03/07/2005
DAILY SCHEDULE	05/05/2005
CHILD CARE/DISCIPLINE POLICIES	05/05/2005
POLICIES	05/05/2005
SAMPLE WEEKLY MENU	08/19/2005
DIAGRAM/INDOOR	08/24/2005
DIAGRAM/OUTDOOR	08/24/2005
SANITATION INSPECTION	04/24/2025
FIRE/SAFETY INSPECTION	06/03/2025
ANNUAL DECLARATION	09/10/2025
EQUIPMENT LIST	09/10/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/10/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	6/16/2011

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.