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

11/01/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2410568775


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
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/20/2021
EQUIPMENT LIST 05/20/2021
ANNUAL DECLARATION 05/05/2021
DAILY SCHEDULE 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
  3:30PM   5:30PM   9/16/2021



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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The observed surface area under red and yellow dome climber and the merry-go-round, from which a child might fall consists of bare soil.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
8/30/2021
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 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: Jacquelin Means.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . 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
9/17/2021
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Shannon Smart needs 6 more clock hours for 2020, Danny Smart needs 6 more clock hours for 2020, Kortnie Bunch needs 3 more clock hours for 2020.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date
11/1/2021
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/30/2021
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Taylor Shannon, Jacquelin Means, and Ashely Hugh.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
9/17/2021
5 CSR 25-600.040 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