2013, 09-24 WA State Family Home Child Care License698709
PROVIDER ID NUMBER
33799
SSPS PROVIDER NUMBER
WASHINGTON STATE DEPARTMENT OF EARLY LEARNING
Family Home Child Care
Initial License
In compliance with the laws of the State of Washington in meeting the licensing requirements of the Department of Early Learning (DEL), a child care license is
hereby granted to the Family Home Child Care facility named below. For information on the status of this license, call 1-866-482-4325 (or 1 -866 -48 -check).
Mary Lou Peck
is licensed to maintain a Family Home Child Care located at 1707 S. Bowdish, city of SPOKANE VALLEY, zip code 99206, county of
Spokane in the State of Washington. This license allows a maximum number of 8 children on the premises during child care hours, this includes the licensee's
own children through age 12.
This Family Home Child Care license allows for care of 8 children, birth through 12 years of age.
When 6 children are in care:
Maximum of 2 children under 18 months of age -OR-
Maximum of 3 children under 2 years of age (At least one of these children must be walking independently)
When 8 children are in care: (All children must be walking independently)
Maximum of 2 children 18 months to 2 years -OR-
Maximum of 4 children under 3 years of age with not more than 2 children under 2 years of age
Limitations if any: Licensed Area- Entire Ground Floor Level of Home
This license is issued on 9/24/2013 and expires on 3/22/2014. Dated this 24th dayf September, 2013 at Spokane, Washington.
DEL Licensor Signature DEL Licensing Supervisor Signature
Karen Cole Karen Christensen
Print Name Print Name
509-789-3830 509-789-3822
Telephone Number Telephone Number
Notice: This license is not transferable, and is valid only for use by the individual (s) to whom it is issued and at the location described.
Issued by Authority of Chapter 43.215 Revised Code of Washington. 10.9.3.1 Family l tome License
Lie Ida Washington State Department of
1110 Early Learning