MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
CERVENY, GERALYN

Facility DVN
000335257

Phone
(816) 356-0672

Physical Address
8916 E 52ND ST
KANSAS CITY
MO 64133-2132

Owner
CERVENY, GERALYN

Mailing Address

Provider/Director
CERVENY, GERALYN

E-mail Address
geralyncerveny@yahoo.com

Incorporated

Child Care Specialist
JANA BARTON

Age Range
BIRTH - 14 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
08/08/2022

Arrival Time
1:45 PM

Departure Time
3:21 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2428552440

Document	Document-Date
EQUIPMENT LIST	08/04/2022
ANNUAL DECLARATION	08/04/2022
LICENSING ORIENTATION	08/08/2022
SAFETY PLAN	08/08/2022
FIRE/SAFETY INSPECTION	02/15/2022
CHILD CARE/DISCIPLINE POLICIES	07/24/2007
POLICIES	07/24/2007
DAILY SCHEDULE	06/16/1989
SAMPLE WEEKLY MENU	06/16/1989
DIAGRAM/OUTDOOR	06/16/1989
DIAGRAM/INDOOR	04/12/1989
OWNER/PROVIDER REFERENCES	04/19/1989
ASSISTANT APPROVAL REQUEST	08/31/2007
ASSISTANT REFERENCES	08/31/2007
SAFE SLEEP POLICY	06/02/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/25/2018
APPLICATION	06/06/2019
SANITATION INSPECTION	06/10/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	8/31/2007

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 1

Total Children 5

Staff	Child	Class Age	Note
1	5	MIXED	Children ages 14 months to 6 years present (one under age 2) with provider. Also present was one school-age grandchild of provider's.