MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT

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Facility Information

Facility Name
CABOOL SECOND BAPTIST DAYCARE

Facility DVN
002033338

Phone
(417) 962-3608

Physical Address
13475 INDUSTRIAL PARK
CABOOL
MO 65689-8504

Owner
CABOOL SECOND BAPTIST CHURCH

Mailing Address
PO BOX 758
CABOOL
MO 65689-0758

Provider/Director
POLM, MELINDA ANN

E-mail Address
director.csbcd@gmail.com

Incorporated
Incorporated

Child Care Specialist
ELAINE S COX

Age Range
6 WEEKS - 13 YEARS

Capacity
99

Facility Type
LICENSE EXEMPT PROGRAM

Limitations
8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/13/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2415985059

Document	Document-Date
FIRE/SAFETY INSPECTION	11/30/2021
SANITATION INSPECTION	11/29/2021
NOTICE OF PARENTAL RESPONSIBILITY	01/04/2022

Inspection determined facility to be in compliance with rules.

Open Violations: NA