MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT

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Facility Information

Facility Name
MAPLE LEAF ACADEMY

Facility DVN
001469852

Phone
(417) 237-0090

Physical Address
2120 S MAPLE ST
CARTHAGE
MO 64836

Owner
ROBERTSON, PAMELLA S

Mailing Address

Provider/Director
ROBERTSON, PAM

E-mail Address
slr152s@hotmail.com

Incorporated

Child Care Specialist
TIM PHILLIPS

Age Range
36 Months - 5 Years

Capacity
20

Facility Type
LICENSE EXEMPT PROGRAM

Limitations

Inspection Information

Date
04/06/2016

Arrival Time
12:45 PM

Departure Time
1:15 PM

Notice
ANNOUNCED

Inspection Type
ANNUAL

Inspection ID
2277312916

Document	Document-Date
FIRE/SAFETY INSPECTION	01/05/2016
SANITATION INSPECTION	02/22/2016

Inspection determined facility to be in compliance with rules.

Open Violations: 1

Attendance at Time of Inspection

Total Staff 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE