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) 437-5248

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
CHRISTINA BRUCE

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
03/21/2018

Arrival Time
10:20 AM

Departure Time
11:12 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2327425767

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
ASSISTANT APPROVAL REQUEST	07/27/2016
ASSISTANT REFERENCES	08/08/2016
POLICIES	06/18/2012
SANITATION INSPECTION	08/24/2017
FIRE/SAFETY INSPECTION	08/02/2017
EQUIPMENT LIST	08/15/2016
APPLICATION	08/15/2016

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:30PM	5:00PM	7/9/2015
7:00AM	7:30AM	7/9/2015

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 9

Staff	Child	Class Age	Note
1	9	MIXED	Ashley was the caregiver with the children. Children range in age from 7 months to 4 years with 2 children under the age of 2. No related children in care.


19 CSR 30-61.025 Organization and Administration Compliance
19 CSR 30-61.055 License Renewal Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-61.115 Day Care Family and Household Compliance
19 CSR 30-61.125 Medical Examination Reports Compliance
19 CSR 30-61.135 Admission Policies and Procedures Compliance
19 CSR 30-61.145 Nighttime Care Compliance
19 CSR 30-61.155 Overlap Care of Children Compliance
19 CSR 30-61.185 Health Care Compliance
19 CSR 30-61.190 Nutrition and Food Service Compliance