DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

DOLLINS, BELINDA

000939613

(573) 888-1660

2132 EASTWOOD AVE
KENNETT
MO  63857-2322

DOLLINS, BELINDA



 

DOLLINS, BELINDA

belindadollins@clgw.net


LESLEY WARREN

6 WEEKS - 12 YEARS

10

FAMILY HOME

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

07/24/2026

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2516979654


DocumentDocument-Date
ASSISTANT APPROVAL REQUEST 03/27/2017
OWNER/PROVIDER REFERENCES 05/09/1997
SAMPLE WEEKLY MENU 05/20/1997
CHILD CARE/DISCIPLINE POLICIES 05/20/1997
POLICIES 05/20/1997
DAILY SCHEDULE 05/20/1997
ASSISTANT REFERENCES 05/13/2015
DIAGRAM/INDOOR 05/20/1997
DIAGRAM/OUTDOOR 05/20/1997
SAFE SLEEP POLICY 11/29/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/25/2018
APPLICATION 03/25/2019
CERTIFICATE OF INCORPORATION 06/08/2020
EQUIPMENT LIST 07/15/2026
SANITATION INSPECTION 04/01/2026
ANNUAL DECLARATION 07/15/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/15/2026
FIRE/SAFETY INSPECTION 05/06/2026

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:15AM   12:15PM   11/28/2017
  3:15PM   4:15PM   11/28/2017



Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

Compliance List
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Violation
 Provider Comments
Violation
Conditions of a variance were not met as evidenced by the annual over the counter form was not on file for the children and is not being updated annually.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.
Correction Required
The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification
Submit Documentation

Compliance Date
7/24/2026
5 CSR 25-400.055 Annual Requirements
Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Compliance
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Compliance
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
5 CSR 25-400.145 Nighttime Care
Compliance
5 CSR 25-400.155 Overlap Care of Children
Compliance
5 CSR 25-400.165 Emergency School Closings
Compliance
5 CSR 25-400.175 Child Care Program
Compliance
5 CSR 25-400.185 Health Care
Violation
 Provider Comments
Violation
Facility did not submit the 2025 annual summary report showing immunization status of each child enrolled by January 15.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department. The immunization records shall be available for review by department personnel upon request.
Correction Required
Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

Correction Verification
Submit Documentation

Compliance Date
7/23/2026
5 CSR 25-400.190 Nutrition and Food Service
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Compliance
5 CSR 25-400.210 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when.
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance