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

BIRTH - 12 YEARS

28

GROUP HOME AND CENTER

5 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/08/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2391898305


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 03/03/2020
JOB RESPONSIBILITIES 02/10/2020
SAMPLE WEEKLY MENU 02/10/2020
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
SANITATION INSPECTION 12/15/2020
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
DIRECTOR'S QUALIFICATIONS 03/23/2020
FIRE/SAFETY INSPECTION 01/21/2021
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: 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.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Stairways in the child care space did not meet requirements as evidenced by there was no safety gate.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (F) states: Approved safety gates at stairways and doors shall be provided and used as needed.
Correction Required
Stairways shall meet safety standards as required.

Correction Verification
Submit Documentation

Compliance Date
2/8/2021
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
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Rita Barker.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
2/8/2021
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Rita Barker.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
1/22/2021
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Michelle Collins, Jaysa Bunch and Kortnie Bunch.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
1/22/2021
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
19 CSR 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 Background Screening Findings
Compliance
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. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance