MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT

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Facility Information

Facility Name
KIDS ZONE

Facility DVN
002105457

Phone
(573) 438-5433

Physical Address
402 N MISSOURI
POTOSI
MO 63664

Owner
LIFE CHURCH OF POTOSI

Mailing Address

Provider/Director
KING, ANGIE D

E-mail Address
LIFEBUILTCHURCH@YAHOO.COM

Incorporated
Incorporated

Child Care Specialist
CARRIE ANN WILLIAMS

Age Range
24 Months - 12 Years

Capacity
60

Facility Type
LICENSE EXEMPT PROGRAM

Limitations

Inspection Information

Date
09/12/2016

Arrival Time
8:45 AM

Departure Time
9:46 AM

Notice
ANNOUNCED

Inspection Type
ANNUAL

Inspection ID
2288806663

Document	Document-Date
NOTICE OF PARENTAL RESPONSIBILITY	08/01/2016
SANITATION INSPECTION	08/31/2016
FIRE/SAFETY INSPECTION	08/08/2016

Inspection determined facility to be in compliance with rules.

Open Violations: 3

Attendance at Time of Inspection

Total Staff 3

Total Children 10

Staff	Child	Class Age	Note
3	10	PRESCHOOL	10 children age 3-5 years present with Brenda, Crystal and Angie. Also present is Pastor Keith King.