MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
STULTS, CORY L

Facility DVN
001578243

Phone
(816) 699-6961

Physical Address
5021 N SPRUCE AVE
KANSAS CITY
MO 64119-3653

Owner
STULTS, CORY LYNN

Mailing Address

Provider/Director

E-mail Address
CSTULTS@KC.RR.COM

Incorporated

Child Care Specialist
PENNY SNODGRASS

Age Range
BIRTH - 12 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 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
09/06/2017

Arrival Time
9:00 AM

Departure Time
10:01 AM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2312703214

Document	Document-Date
EQUIPMENT LIST	08/01/2017
APPLICATION	06/27/2017
CHILD CARE/DISCIPLINE POLICIES	09/06/2017
POLICIES	09/06/2017
FIRE/SAFETY INSPECTION	07/25/2017
SANITATION INSPECTION	06/26/2017
SAMPLE WEEKLY MENU	11/10/2009
SAMPLE FORMS	05/25/2001
OWNER/PROVIDER REFERENCES	05/25/2001
DIAGRAM/OUTDOOR	04/24/2001
DIAGRAM/INDOOR	04/24/2001
DAILY SCHEDULE	04/24/2001
ASSISTANT REFERENCES	11/30/2009
ASSISTANT APPROVAL REQUEST	11/10/2009

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:45PM	4:45PM	9/6/2011
7:15AM	8:15AM	9/6/2011

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 6

Staff	Child	Class Age	Note
1	6	MIXED	no related children. 2 children under age 2 years.