Jump up ^ Marshall, Lynne; Miller, Judi A. Lapsley; Heller, Laurie M.; Wolgemuth, Keith S.; Hughes, Linda M.; Smith, Shelley D.; Kopke, Richard D. (2009-02-01). "Detecting incipient inner-ear damage from impulse noise with otoacoustic emissions". The Journal of the Acoustical Society of America. 125 (2): 995–1013. Bibcode:2009ASAJ..125..995M. doi:10.1121/1.3050304. ISSN 0001-4966.
My name is Kara Downing but now days I go by Miss Kara. I grew up in south eastern Colorado on a 2500 acre farm with my brother and sister. I was the youngest sibling and always wanted a younger brother or sister. As a young child I was always helping take care of my younger cousins and I loved babysitting. My grandma was an elementary teacher and I remember going to help in her classroom and the idea of teaching seemed like so much fun. I believe all of these factors helped my find my passion with working with children.
It is NOT a different type of license or a substitute for licensing or accreditation. The intent of the Qualistar Rating™ is to give licensed programs a measurement of quality, by star levels, and recommendations on how to improve the quality of the care they provide. Accreditation by a national accrediting agency is a separate process that has its own set of standards and validation system.