MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
APPLESEED DAYCARE, LLC

Facility DVN
002734803

Phone
(660) 243-4340

Physical Address
706 MAIN ST
WAVERLY
MO 64096-8127

Owner
APPLESEED DAYCARE, LLC

Mailing Address
29029 HIGHWAY 24
WAVERLY
MO 64096-9115

Provider/Director
FORD, AMANDA JENE

E-mail Address
APPLESEEDDAYCARELLC@GMAIL.COM

Incorporated

Child Care Specialist
CRYSTAL HEISER

Age Range
BIRTH - 11 YEARS

Capacity
32

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
09/10/2021

Arrival Time
12:48 PM

Departure Time
1:25 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2407987567

Document	Document-Date
ANNUAL DECLARATION	02/09/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/09/2021
APPLICATION	11/20/2019
EQUIPMENT LIST	03/15/2021
SAMPLE WEEKLY MENU	01/29/2020
DAILY SCHEDULE	01/29/2020
DIAGRAM/INDOOR	01/08/2019
CHILD CARE PRACTICES	01/29/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/29/2020
STAFF SHEET	01/29/2020
SAFE SLEEP POLICY	01/29/2020
JOB RESPONSIBILITIES	01/29/2020
SANITATION INSPECTION	12/09/2020
LOCAL BUILDING APPROVAL	03/08/2021
LOCAL ZONING APPROVAL	03/08/2021
LOCAL FIRE DEPARTMENT NOTIFICATION	01/29/2020
CERTIFICATE OF GOOD STANDING	01/29/2020
LINES OF ADMINISTRATIVE AUTHORITY	01/29/2020
LLC ARTICLES OF ORGANIZATION	01/29/2020
LLC OPERATING AGREEMENT	01/29/2020
SAMPLE FORMS	01/29/2020
DIAGRAM/OUTDOOR	01/29/2020
DISCIPLINE POLICIES	01/31/2020
POLICIES	01/31/2020
FIRE/SAFETY INSPECTION	12/02/2020

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.

Attendance at Time of Inspection

Total Staff 4

Total Children 13

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Caregivers Katrina Stewart and Mahlina Mueller present with 7 infants.
1	6	MIXED	Caregiver Kaitlin Hord was present with 6 children, ages 2 to 4.
1	0	NO CHILDREN IN ATTENDANCE	Director Amanda Ford was present with no children.


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