MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SHALOM CHRISTIAN ACADEMY & DAYCARE

Facility DVN
001802053

Phone
(573) 256-4824

Physical Address
312 RIDGEWAY AVE
COLUMBIA
MO 65203-2624

Owner
SHALOM CHRISTIAN ACADEMY & DAYCARE

Mailing Address
PO BOX 901
COLUMBIA
MO 65205-0901

Provider/Director
FONVILLE, ELAINE

E-mail Address
Sca6903@mediacombb.net

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
BIRTH - 12 YEARS

Capacity
48

Facility Type
GROUP HOME AND CENTER

Limitations
18 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
08/25/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2429828095

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	02/02/2016
JOB RESPONSIBILITIES	02/02/2016
LOCAL FIRE DEPARTMENT NOTIFICATION	02/02/2016
LOCAL ZONING APPROVAL	02/02/2016
LOCAL BUILDING APPROVAL	02/02/2016
SAMPLE WEEKLY MENU	02/02/2016
DISCIPLINE POLICIES	02/02/2016
ARTICLES OF INCORPORATION	01/11/2016
CERTIFICATE OF GOOD STANDING	01/11/2016
STAFF SHEET	01/11/2016
LINES OF ADMINISTRATIVE AUTHORITY	01/11/2016
DAILY SCHEDULE	02/02/2016
DIAGRAM/INDOOR	07/06/2015
DIAGRAM/OUTDOOR	07/06/2015
CHILD CARE PRACTICES	02/03/2016
POLICIES	02/03/2016
APPLICATION	11/17/2019
EQUIPMENT LIST	01/31/2022
FIRE/SAFETY INSPECTION	01/25/2022
SANITATION INSPECTION	12/09/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/31/2022
ANNUAL DECLARATION	01/31/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
2:30PM	4:30PM	4/28/2022

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.