MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
APPLE TREE ACADEMY

Facility DVN
000742030

Phone
(573) 893-4712

Physical Address
2810 E MCCARTY ST
JEFFERSON CITY
MO 65101

Owner
BRAD AND KAREN ENTERPRISES LLC

Mailing Address

Provider/Director
FORSYTHE, HEATHER

E-mail Address
info@APPLETREE4KIDS.COM

Incorporated

Child Care Specialist
WARSHIETA HAMMOND

Age Range
BIRTH - 12 YEARS

Capacity
86

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN UNDER 12 MONTHS; 23 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/25/2017

Arrival Time
10:45 AM

Departure Time
12:16 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2297945772

Document	Document-Date
SANITATION INSPECTION	06/15/2016
DISCIPLINE POLICIES	07/23/2001
LLC ARTICLES OF ORGANIZATION	08/27/1989
LINES OF ADMINISTRATIVE AUTHORITY	09/01/1995
JOB RESPONSIBILITIES	09/01/1995
DIRECTOR'S QUALIFICATIONS	08/27/1999
CHILD CARE PRACTICES	07/23/2001
SAMPLE WEEKLY MENU	09/01/1995
DAILY SCHEDULE	09/01/1995
POLICIES	07/23/2001
DIAGRAM/OUTDOOR	09/01/1995
DIAGRAM/INDOOR	09/01/1995
LOCAL ZONING APPROVAL	05/11/1995
LOCAL BUILDING APPROVAL	09/11/1995
CERTIFICATE OF GOOD STANDING	06/25/2013
APPLICATION	06/26/2015
EQUIPMENT LIST	07/16/2015
STAFF SHEET	07/16/2015
FIRE/SAFETY INSPECTION	06/27/2016

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	4:00PM	7/6/2009
4:00PM	5:00PM	4/7/2009

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 12

Total Children 49

Staff	Child	Class Age	Note
3	11	INFANTS AND TODDLERS	Michelle Gibson, Sonja Newton, and Jessica Gross
3	8	INFANTS AND TODDLERS	Mary Kempker, Amy Hagan, and Falicia Leslie
1	10	MIXED	Kristine Winn with 3 two-year olds and 7 preschool
1	10	MIXED	Julie Bruemmer with 4 two-year olds and 6 preschool
1	10	MIXED	Dawnita Fisher with 4 two-year olds and 6 preschool
1	0	NO CHILDREN IN ATTENDANCE	Zach Busher was on site in the kitchen
1	0	NO CHILDREN IN ATTENDANCE	Heather Forsythe was on site in the office
1	0	NO CHILDREN IN ATTENDANCE	Kay Wagner was on site as a floater


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 License Renewal Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.087 Fire Safety Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.142 Nighttime Care Compliance
19 CSR 30-62.152 Hourly Care Facilities Compliance
19 CSR 30-62.162 Overlap Care of Children Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance