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 & KAREN ENTERPRISES, L.L.C.

Mailing Address

Provider/Director
WAGNER, CHERYL

E-mail Address
info@APPLETREE4KIDS.COM

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

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
03/31/2021

Arrival Time
10:00 AM

Departure Time
11:30 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2396472264

Document	Document-Date
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	07/12/2017
APPLICATION	06/11/2019
EQUIPMENT LIST	07/01/2019
STAFF SHEET	07/01/2019
SANITATION INSPECTION	06/12/2020
FIRE/SAFETY INSPECTION	06/23/2020

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 15

Total Children 72

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Falicia Leslie and Brittany Barrett with 8 children, one child 3 months old, one child 5 months old, two children 6 months old, one child 7 months old and two children age 11 months.
2	7	INFANTS AND TODDLERS	Mary Kempker and Alyssa Schulte with 7 children age 1.
2	7	INFANTS AND TODDLERS	Dixie Riegel and Jordyn Mason with 7 children, one child 10 months old and six children age 1.
1	9	MIXED	Candice Kennedy with 9 children, four children age 2 and five children age 3.
2	14	MIXED	Anna Barbagallo and Heather Forsythe with 14 children, eight children age 2 and five children age 3.
1	8	MIXED	Dawnita Fisher with 8 children, two children age 2, five children age 3 and one child age 4.
3	0	NO CHILDREN IN ATTENDANCE	Cheryl 'Kay' Wagner (Director) and Blake Werner present in the office with 0 children. Karen Werner (Owner) present in the kitchen cooking with 0 children.
2	19	PRESCHOOL	Madasyn Werdehausen and Kendall Thomason with 19 children, four children age 4 and fifteen children age 5.


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process 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 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
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