DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KINDERTREE ENRICHMENT CENTER

002457514

(573) 768-3800

1422 N KINGSHIGHWAY ST
PERRYVILLE
MO  63775-3305

LANDS, DANIELLE LOUISE; AMBERGER, APRIL



 

AMBERGER, APRIL

KINDERTREECENTER@GMAIL.COM


JESSICA SPENCER

BIRTH - 12 YEARS

28

GROUP HOME AND CENTER

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

01/12/2022

12:28 PM

1:32 PM

UNANNOUNCED

COMPLIANCE MONITORING

2415907802


DocumentDocument-Date
ANNUAL DECLARATION 07/13/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/04/2021
FIRE/SAFETY INSPECTION 04/14/2021
CHILD CARE PRACTICES 06/12/2014
SAMPLE WEEKLY MENU 06/12/2014
DISCIPLINE POLICIES 06/12/2014
POLICIES 06/12/2014
JOB RESPONSIBILITIES 06/12/2014
DIAGRAM/OUTDOOR 06/12/2014
DIAGRAM/INDOOR 06/12/2014
DAILY SCHEDULE 06/12/2014
DIRECTOR'S QUALIFICATIONS 06/01/2014
LINES OF ADMINISTRATIVE AUTHORITY 11/03/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 11/03/2015
LOCAL ZONING APPROVAL 11/03/2015
OWNER/PROVIDER REFERENCES 11/03/2015
APPLICATION 03/12/2018
SANITATION INSPECTION 04/12/2021
EQUIPMENT LIST 06/04/2021
SAFE SLEEP POLICY 05/18/2016
REGISTERING FICTITIOUS NAMES 03/13/2019
STAFF SHEET 05/15/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   7/21/2014



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 25
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Caregivers: Amy Helms and Brianna Hoehn with eight children ages five months to twenty-three months.
2 17 MIXED Caregivers: April Amberger and Linda Lorenz-Miesner with one child two years of age, ten children three years of age, four children four years of age and two children five years of age.

 
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 facility's outdoor space was not safe for children's activities as evidenced by a broken birth bath was located on the outdoor play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
1/12/2022
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
Safe sleep training was not completed within the past 3 years for the following staff Carley Schirmer.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Carley Schirmer.
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

Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Brianna Hoehn needs three clock hours for 2021.
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

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by one staff member had the appropriate form on file; however, the medical provider failed to fill out the limitation and restriction sections.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
5 CSR 25-600.020 General Requirements
Compliance
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