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
10/07/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2366115305

Document	Document-Date
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
POLICIES	09/06/2017
CHILD CARE/DISCIPLINE POLICIES	09/06/2017
SAFE SLEEP POLICY	09/06/2017
ASSISTANT APPROVAL REQUEST	09/27/2019
SANITATION INSPECTION	08/12/2019
FIRE/SAFETY INSPECTION	08/20/2019
EQUIPMENT LIST	09/09/2019
APPLICATION	09/09/2019

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: 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.