MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT

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Facility Information

Facility Name
MILLERSBURG PRESCHOOL INC

Facility DVN
000213512

Phone
(573) 642-2939

Physical Address
4527 STATE RD J
FULTON
MO 65251

Owner
MILLERSBURG PRESCHOOL INC

Mailing Address
4925 COUNTY RD 351
FULTON
MO 65251

Provider/Director
GRIFFIN, SHERRI

E-mail Address
N/A

Incorporated
N/A

Child Care Specialist
ANGELA EVELYN EASLEY

Age Range
N/A

Capacity
15

Facility Type
LICENSE EXEMPT PROGRAM

Limitations
N/A

Inspection Information

Date
01/29/2013

Arrival Time
10:50 AM

Departure Time
12:00 PM

Notice
ANNOUNCED

Inspection Type
ANNUAL

Inspection ID
2886

Document	Document-Date
SANITATION INSPECTION	10/23/2012
FIRE/SAFETY INSPECTION	12/06/2012

Inspection determined facility to be in compliance with rules.

Open Violations: 3

Attendance at Time of Inspection

Total Staff 8

Total Children 15

Staff	Child	Class Age	Note
8	15	PRESCHOOL