MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
ZELADE, GINA GAY

Facility DVN
002295467

Phone
(660) 651-8537

Physical Address
510 E LOGAN ST
MOBERLY
MO 65270-2225

Owner
ZELADE, GINA GAY

Mailing Address

Provider/Director
ZELADE, GINA GAY

E-mail Address
gseldaltz@gmail.com

Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

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 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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
03/18/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2419975376

Document	Document-Date
ANNUAL DECLARATION	05/17/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/17/2021
ASSISTANT REFERENCES	06/13/2013
OWNER/PROVIDER REFERENCES	06/29/2011
SAMPLE FORMS	06/06/2013
SAMPLE WEEKLY MENU	06/13/2013
POLICIES	06/13/2013
CHILD CARE/DISCIPLINE POLICIES	06/13/2013
DIAGRAM/OUTDOOR	06/13/2013
DIAGRAM/INDOOR	06/13/2013
DAILY SCHEDULE	06/13/2013
SANITATION INSPECTION	03/29/2021
FIRE/SAFETY INSPECTION	04/19/2021
APPLICATION	05/02/2019
EQUIPMENT LIST	07/08/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:00PM	8/8/2011
7:00AM	7:30AM	8/8/2011

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.