MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SHINING STARS LLC

Facility DVN
002595884

Phone
(573) 796-1917

Physical Address
608 E CORA AVE
CALIFORNIA
MO 65018-1874

Owner
SHINING STARS LLC

Mailing Address

Provider/Director
SMULDERS, DEBRA

E-mail Address
shiningstars_llc@yahoo.com

Incorporated

Child Care Specialist
ALISON MICHELE EVANS

Age Range
BIRTH - 12 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/04/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2321692493

Document	Document-Date
APPLICATION	04/21/2016
ARTICLES OF INCORPORATION	03/07/2016
LLC ARTICLES OF ORGANIZATION	03/07/2016
DIAGRAM/INDOOR	04/21/2016
DIAGRAM/OUTDOOR	04/21/2016
DIRECTOR'S QUALIFICATIONS	05/10/2016
CHILD CARE PRACTICES	07/27/2016
EQUIPMENT LIST	04/21/2016
DISCIPLINE POLICIES	07/27/2016
JOB RESPONSIBILITIES	07/27/2016
LINES OF ADMINISTRATIVE AUTHORITY	04/21/2016
LLC OPERATING AGREEMENT	03/07/2016
OWNER/PROVIDER REFERENCES	04/21/2016
POLICIES	07/27/2016
STAFF SHEET	04/21/2016
SAMPLE FORMS	04/21/2016
SAMPLE WEEKLY MENU	04/21/2016
DAILY SCHEDULE	07/27/2016
SANITATION INSPECTION	03/14/2017
FIRE/SAFETY INSPECTION	04/17/2017

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:15PM	5:15PM	7/28/2016

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.