MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
ROTH, MARTINA H

Facility DVN
002289125

Phone
(816) 431-4903

Physical Address
1721 TODD ST
PLATTE CITY
MO 64079-9356

Owner
ROTH, MARTINA H

Mailing Address

Provider/Director

E-mail Address
GPTINA36@GMAIL.COM

Incorporated

Child Care Specialist
JILL SOLOMON

Age Range
6 WEEKS - 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 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
05/17/2016

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2280976301

Document	Document-Date
SANITATION INSPECTION	04/29/2016
EQUIPMENT LIST	05/13/2013
APPLICATION	03/19/2013

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:15PM	3:10PM	8/14/2014
4:00PM	4:30PM	8/14/2014
7:30AM	7:50AM	8/14/2014

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.