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
01/31/2023

Arrival Time
11:55 AM

Departure Time
12:29 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2440439953

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 7

Total Children 33

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	children ages 11 months to 22 months; Janet Logan and Nicole Hicks
1	2	INFANTS AND TODDLERS	children ages 6 weeks and 9 months; Haley Gomez
1	8	MIXED	children ages two to four; Arionna Johnson
1	8	MIXED	children ages four and five; Marilyn Cook
1	0	NO CHILDREN IN ATTENDANCE	John Fonville, owner
1	8	TWO YEAR OLDS	Elaine Fonville


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.087 Fire Safety Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
5 CSR 25-500.142 Nighttime Care Not Observed
5 CSR 25-500.162 Overlap Care of Children Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Compliance
5 CSR 25-500.202 Nutrition and Food Service Compliance
5 CSR 25-500.212 Transportation and Field Trips Not Observed
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed