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
03/16/2016

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2275963406

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: 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.