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
LEATRICE L DIXON

Age Range
24 MONTHS - 12 YEARS

Capacity
60

Facility Type
LICENSE EXEMPT PROGRAM

Limitations

Inspection Information

Date
09/13/2017

Arrival Time
8:40 AM

Departure Time
10:18 AM

Notice
ANNOUNCED

Inspection Type
ANNUAL

Inspection ID
2313460201

Document	Document-Date
NOTICE OF PARENTAL RESPONSIBILITY	08/11/2017
SANITATION INSPECTION	06/12/2017
FIRE/SAFETY INSPECTION	06/21/2017

Inspection determined facility to be in compliance with rules.

Open Violations: 11

Attendance at Time of Inspection

Total Staff 4

Total Children 15

Staff	Child	Class Age	Note
3	15	MIXED	Angie King, Crystal Borden, and Brenda Hixson with children aged 2 to 5 years
1	0	NO CHILDREN IN ATTENDANCE	Pastor Keith King