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
kenanita23@yahoo.com

Incorporated

Child Care Specialist
JULIE A BADER

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
08/21/2017

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2312568642

Document	Document-Date
SANITATION INSPECTION	05/18/2017
FIRE/SAFETY INSPECTION	06/21/2017
EQUIPMENT LIST	07/06/2017
APPLICATION	07/06/2017

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:30PM	7/6/2017

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.