MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

Back

Facility Information

Facility Name
MOELLER, CAROL ANN

Facility DVN
000208224

Phone
(314) 966-8988

Physical Address
1125 SIMMONS AVE
KIRKWOOD
MO 63122-1110

Owner
MOELLER, CAROL ANN

Mailing Address

Provider/Director
MOELLER, CAROL ANN

E-mail Address
CMOELLER4@ICLOUD.COM

Incorporated

Child Care Specialist
THERESA ZEHNLE

Age Range
BIRTH - 6 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
02/09/2023

Arrival Time
1:45 PM

Departure Time
2:28 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2441044128

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
SAFE SLEEP POLICY	12/20/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/23/2012
APPLICATION	10/18/2019
SAFETY PLAN	01/27/2021
FIRE/SAFETY INSPECTION	11/09/2022
EQUIPMENT LIST	01/03/2023
SANITATION INSPECTION	11/09/2022
ANNUAL DECLARATION	01/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/03/2023

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 9

Staff	Child	Class Age	Note
1	9	MIXED	Carol Moeller, caregiver, was present with nine children ages 10-months-old to 5-years-old. There were two children under 24-months-old.