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
12/28/2022

Arrival Time
2:40 PM

Departure Time
3:23 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2438112329

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.

Attendance at Time of Inspection

Total Staff 5

Total Children 19

Staff	Child	Class Age	Note
1	3	INFANTS AND TODDLERS	children ages 18 months to 20 months; Hailey Gomez
1	2	INFANTS AND TODDLERS	children ages 7 months and 10 months; Nicole Hicks
1	7	MIXED	children ages four to ten; Elaine Fonville
1	0	NO CHILDREN IN ATTENDANCE	JF, facility owner
1	7	TWO YEAR OLDS	Arionna Johnson