MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT

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Facility Information

Facility Name
CREATIVE BRIDGE ACADEMY

Facility DVN
002304741

Phone
(660) 542-0057

Physical Address
1018 E 10TH ST
CARROLLTON
MO 64633-9348

Owner
SHAPES DANCE & ACRO LLC

Mailing Address

Provider/Director
LOCK, HARRIETT H

E-mail Address
LOCKHARRIETT@GMAIL.COM

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
36 MONTHS - 5 YEARS

Capacity
19

Facility Type
LICENSE EXEMPT PROGRAM

Limitations

Inspection Information

Date
09/28/2023

Arrival Time
8:44 AM

Departure Time
9:58 AM

Notice
ANNOUNCED

Inspection Type
ANNUAL

Inspection ID
2455732309

Document	Document-Date
SANITATION INSPECTION	09/14/2023
FIRE/SAFETY INSPECTION	09/28/2023

Inspection determined facility to be in compliance with rules.

Open Violations: 1

Attendance at Time of Inspection

Total Staff 3

Total Children 10

Staff	Child	Class Age	Note
3	10	MIXED	8- preschool children and 2- five year old children Harriett Lock, Crystal Samples, Machaela Mathews, staff