MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MOELLER, CAROL

Facility DVN
000208224

Phone
(314) 966-8988

Physical Address
1125 SIMMONS AVE
ST LOUIS
MO 63122

Owner
MOELLER, CAROL

Mailing Address

Provider/Director

E-mail Address
CMOELLER4@ICLOUD.COM

Incorporated

Child Care Specialist
BROOKE POSKIN

Age Range
BIRTH - 10 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
12/13/2017

Arrival Time
7:30 AM

Departure Time
11:22 AM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2320156909

Document	Document-Date
SAMPLE WEEKLY MENU	04/14/1986
SAMPLE FORMS	04/14/1986
POLICIES	04/14/1986
OWNER/PROVIDER REFERENCES	04/14/1986
LOCAL FIRE DEPARTMENT NOTIFICATION	04/14/1986
DIAGRAM/OUTDOOR	04/14/1986
DIAGRAM/INDOOR	04/14/1986
DAILY SCHEDULE	04/14/1986
CHILD CARE/DISCIPLINE POLICIES	04/14/1986
ASSISTANT REFERENCES	11/07/2013
ASSISTANT APPROVAL REQUEST	11/07/2013
APPLICATION	12/06/2017
EQUIPMENT LIST	12/13/2017
FIRE/SAFETY INSPECTION	11/08/2017
SANITATION INSPECTION	11/21/2017

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 11

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 7

Staff	Child	Class Age	Note
1	7	MIXED	Carol Moeller present with 7 children ages 5 months to 4 years including 2 under 24 months