MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT

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Facility Information

Facility Name
NEW LIFE ASSEMBLY OF GOD

Facility DVN
002517431

Phone
(816) 690-9043

Physical Address
801 SW 1ST ST
OAK GROVE
MO 64075-9112

Owner
NEW LIFE ASSEMBLY OF GOD

Mailing Address

Provider/Director
LINDMARK, KARRI ANN

E-mail Address
klindmark4@gmail.com

Incorporated

Child Care Specialist
ROMENA FOX

Age Range
5 YEARS - 12 YEARS

Capacity
49

Facility Type
LICENSE EXEMPT PROGRAM

Limitations

Inspection Information

Date
05/02/2019

Arrival Time
3:00 PM

Departure Time
4:12 PM

Notice
ANNOUNCED

Inspection Type
ANNUAL

Inspection ID
2356033995

Document	Document-Date
FIRE/SAFETY INSPECTION	04/29/2019
SANITATION INSPECTION	03/08/2019
NOTICE OF PARENTAL RESPONSIBILITY	05/02/2019

Inspection determined facility to be in compliance with rules.

Open Violations: 6

Attendance at Time of Inspection

Total Staff 2

Total Children 19

Staff	Child	Class Age	Note
2	19	SCHOOL AGE


19 CSR 30-60.090 Sanitation Requirements Compliance