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
psr152p@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
04/25/2016

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2279003843

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: NA