MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HALE, TERESA ANN

Facility DVN
000178525

Phone
(417) 732-6203

Physical Address
525 S VENTURA AVE
REPUBLIC
MO 65738-1705

Owner
HALE, TERESA ANN

Mailing Address

Provider/Director
HALE, TERESA ANN

E-mail Address
Halehomedaycare@gmail.com

Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
36 MONTHS - 14 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations

Inspection Information

Date
07/14/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2427098113

Document	Document-Date
ANNUAL DECLARATION	02/26/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/19/2021
SAMPLE WEEKLY MENU	05/14/1981
POLICIES	02/01/1993
OWNER/PROVIDER REFERENCES	06/01/1981
ASSISTANT APPROVAL REQUEST	03/04/2013
DIAGRAM/OUTDOOR	05/15/1981
DIAGRAM/INDOOR	05/14/1981
DAILY SCHEDULE	04/14/1981
CHILD CARE/DISCIPLINE POLICIES	02/01/1993
ASSISTANT REFERENCES	03/04/2013
APPLICATION	01/07/2019
FIRE/SAFETY INSPECTION	10/28/2020
SANITATION INSPECTION	01/26/2021
EQUIPMENT LIST	03/07/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:00AM	1:00PM	12/28/2012

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.