MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
KELLEY, ANITA

Facility DVN
001192490

Phone
(660) 376-3363

Physical Address
26902 PARRISH RD
MARCELINE
MO 64658

Owner
KELLEY, ANITA

Mailing Address

Provider/Director

E-mail Address
kenanita@sbcglobal.net

Incorporated

Child Care Specialist
JULIE CARTER

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 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
08/08/2016

Arrival Time
2:00 PM

Departure Time
2:41 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2286372183

Document	Document-Date
APPLICATION	05/15/2015
SANITATION INSPECTION	05/07/2015
EQUIPMENT LIST	05/15/2015

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 8

Staff	Child	Class Age	Note
1	8	MIXED	plus 2 related