MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CREATIVE KIDDOZ LLC

Facility DVN
002355464

Phone
(573) 437-6991

Physical Address
212 N WALNUT ST
OWENSVILLE
MO 65066

Owner
CREATIVE KIDDOZ LLC

Mailing Address

Provider/Director
JAMES, ASHLEY LOREN

E-mail Address
CREATIVEKIDDOZ@GMAIL.COM

Incorporated

Child Care Specialist
BROOKE POSKIN

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

Inspection Information

Date
03/10/2016

Arrival Time
8:50 AM

Departure Time
10:13 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2275582073

Document	Document-Date
DAILY SCHEDULE	11/07/2012
LLC ARTICLES OF ORGANIZATION	06/18/2012
LLC OPERATING AGREEMENT	09/06/2012
OWNER/PROVIDER REFERENCES	08/28/2012
SAMPLE FORMS	09/06/2012
SAMPLE WEEKLY MENU	06/18/2012
CHILD CARE/DISCIPLINE POLICIES	06/18/2012
DIAGRAM/OUTDOOR	06/18/2012
DIAGRAM/INDOOR	06/18/2012
EQUIPMENT LIST	07/14/2014
APPLICATION	07/28/2014
ASSISTANT APPROVAL REQUEST	03/04/2015
ASSISTANT REFERENCES	03/23/2015
SANITATION INSPECTION	07/29/2015
FIRE/SAFETY INSPECTION	08/11/2015

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	5:30PM	1/15/2013
7:00AM	7:30AM	1/15/2013

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 7

Staff	Child	Class Age	Note
1	7	MIXED	Ms. Ashley present with 8 children including 2 under 24 months