DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

APPLE BLOSSOM LEARNING CENTER LLC

002813807

(417) 349-0063

1505A N MAIN ST
MOUNTAIN GROVE
MO  65711-1038

APPLE BLOSSOM LEARNING CENTER LLC



 

SMART, SHANNON DAWN

dsmart1304@hotmail.com


ELAINE S COX

24 MONTHS - 12 YEARS

19

GROUP HOME AND CENTER

 
Inspection Information

08/03/2020

11:00 AM

1:25 PM

ANNOUNCED

COMPLIANCE MONITORING

2383598905


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 03/03/2020
JOB RESPONSIBILITIES 02/10/2020
SAMPLE WEEKLY MENU 02/10/2020
SANITATION INSPECTION 02/27/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/30/2020
POLICIES 02/10/2020
CHILD CARE PRACTICES 01/02/2020
CERTIFICATE OF GOOD STANDING 01/02/2020
STAFF SHEET 01/02/2020
DISCIPLINE POLICIES 01/02/2020
SAMPLE FORMS 01/02/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 01/02/2020
DIAGRAM/OUTDOOR 01/02/2020
DIAGRAM/INDOOR 01/02/2020
LLC ARTICLES OF ORGANIZATION 11/11/2019
APPLICATION 01/09/2020
FIRE/SAFETY INSPECTION 01/23/2020
DIRECTOR'S QUALIFICATIONS 03/23/2020
DAILY SCHEDULE 01/23/2020
EQUIPMENT LIST 01/23/2020
LLC OPERATING AGREEMENT 03/03/2020
LOCAL BUILDING APPROVAL 03/03/2020
LOCAL ZONING APPROVAL 03/03/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   5/21/2020



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 3
Total Children 13
StaffChildClass AgeNote
2 7 MIXED age 3 year to 7 years- Danny and Shannon Smart
1 6 MIXED ages 2 years to 10 year- Jenna Keiser-

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Prospective child care staff member(s), Jenna Keiser, was/were working without having requested a criminal background and was/were not supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past five years.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (O) states: A prospective child care staff member may begin work for a child care provider after the criminal background check has been requested from the department; however, pending completion of the criminal background check, the prospective child care staff member shall be supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past five (5) years.
Correction Required
All prospective child care staff member(s) who have requested a criminal background check shall be supervised at all times by another child care staff member who has received a qualifying result on the criminal background check within the past five years.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Not Observed
19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Not Observed
19 CSR 30-63.040 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