DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KRADLE TO KRAYON CHILDCARE, LLC

002267961

(573) 346-5558

455 3RD ST
CAMDENTON
MO  65020-9695

KRADLE TO KRAYON CHILDCARE, LLC

4041 OSAGE BEACH PKY
OSAGE BEACH
MO  65065

PALMER, LAKIN NICOLE

kradletokrayon@ymail.com


LACEY BERENDZEN

6 WEEKS - 12 YEARS

56

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/08/2022

11:12 AM

1:12 PM

UNANNOUNCED

COMPLIANCE MONITORING

2435026502


DocumentDocument-Date
LLC ARTICLES OF ORGANIZATION 02/15/2013
LOCAL FIRE DEPARTMENT NOTIFICATION 04/26/2011
LLC OPERATING AGREEMENT 02/20/2013
SAMPLE WEEKLY MENU 04/01/2011
LOCAL ZONING APPROVAL 04/19/2011
LINES OF ADMINISTRATIVE AUTHORITY 01/04/2011
DISCIPLINE POLICIES 01/04/2011
DIRECTOR'S QUALIFICATIONS 04/28/2011
CHILD CARE PRACTICES 01/04/2011
POLICIES 01/04/2011
LOCAL BUILDING APPROVAL 04/19/2011
JOB RESPONSIBILITIES 04/26/2011
DIAGRAM/OUTDOOR 04/01/2011
DIAGRAM/INDOOR 04/01/2011
DAILY SCHEDULE 01/04/2011
STAFF SHEET 02/22/2019
APPLICATION 02/22/2019
FIRE/SAFETY INSPECTION 04/19/2021
EQUIPMENT LIST 05/18/2022
ANNUAL DECLARATION 05/11/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/18/2022
SANITATION INSPECTION 04/07/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 13
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 8
Total Children 55
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS JA and MM with 8 children, all children age 1 year old.
1 2 INFANTS AND TODDLERS LP (director) in the kitchen cooking, on the other side of the gate on the floor in the infant space was two infants age 1 year old. When lunch prep was finished LP was in the infant classroom with 3 children age 1 year old.
1 4 INFANTS AND TODDLERS LD with 4 infant, children age 2 months - 5 months old.
1 8 INFANTS AND TODDLERS HD with 8 children. One child was age 1 year old and seven children were age 2 years old.
1 3 PRESCHOOL MS with 3 children. Children age 2 years old, 4 years old and 5 years old. They were inside preparing the tables for lunch. The four year old child got on a bus and left facility.
2 30 PRESCHOOL SO and SW with 30 children outside. Eleven children age 2 years old and nineteen children age 3- 5 years old. Inside around 11:30 am SO, SW, and MS had 31 children, twelve children age 2 years old and nineteen children age 3-5 years old.

 
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 walls located in the preschool classroom, the half door that separates the space was/were not in good condition as evidenced by the top wooden part is missing causing the edges to be sharp.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The floors located in the preschool classroom leading to upstairs was/were not in good condition as evidenced by the bottom stairs have carpet that is ripped.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by the potty chair was not cleaned.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (C) 2. states: One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for every four (4) children being toilet trained. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use.
Correction Required
The facility shall provide, clean, and disinfect potty training equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The required caregiver/child ratio for infant/toddlers and two-year olds was not maintained. The caregiver/child ratio was not maintained for 2 year-olds outdoors as evidenced by 11 children age 2 years old and 19 children ages 3- 5 years old children with 2 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (B) 2. states: Staff/child ratios for infant/toddlers and two (2)-year olds shall be maintained at all times.
Correction Required
Caregiver/child ratios for I/Ts and 2-year olds shall be maintained at all times.

Correction Verification
Return Inspection

Compliance Date

Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the preschool classroom by the group time area (brown paint) and the dramatic play area (blue paint) was/were not in good condition as evidenced by the paint is peeling off the walls.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the outdoor electrical plate on the left side of the preschool exit door that is by the eating tables has a plastic cover, but the plastic cover was broken off and on the ground exposing the uncovered outlets.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, white wooden changing table, in infant classroom was not in good condition as evidenced by the white paint along the edges is chipping off.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Corrected on Site

Compliance Date
11/8/2022
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 8 children, ages 1 and 2 years old. One child was age 1 year old and seven children were age 2 years old, were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
11/8/2022
Violation
Staff/child ratio requirements were not met as evidenced by 31 children, ages 2 - 5 years old were as follows: twelve children are age 2 years old and nineteen children are ages 3- 5 years old, were cared for by 3 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct staff/child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date

Violation
More than 50 children were observed in care and the director/individual in charge was included in the staff/child ratios; this occurred outside of naptime and there was no emergency.
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (2) states: If a center has an attendance of more than fifty (50) children, the center director or individual in charge shall not be included in staff/child ratios except during naptime or on an emergency substitute basis.
Correction Required
The director/individual in charge shall not be included in the ratio except as allowed.

Correction Verification
Return Inspection

Compliance Date

Violation
During meal time, staff preparing meals were included in the staff/child ratio and more than 30 children were present.
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (3) states: If a center has an attendance of more than thirty (30) children at lunch or dinner time, staff shall be provided for meal preparation, serving and clean-up. The staff shall not be included in staff/child ratios during this time.
Correction Required
A cook shall be on duty as required.

Correction Verification
Return Inspection

Compliance Date

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 25-500.162 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