DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

COUNT ON ME ACADEMY, LLC

002962996

(816) 478-1988

4747 S HOCKER RD
KANSAS CITY
MO  64136-1180

COUNT ON ME ACADEMY LLC - INDEPENDENCE

6020 LONE ELM RD
SHAWNEE
KS  66218-8953

KIRKPATRICK, MARIA

mariak@countonmeacademy.com


KRISTEN BURKS

12 MONTHS - 12 YEARS

97

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/18/2023

9:30 AM

11:44 AM

UNANNOUNCED

POST LICENSING

2439366431


DocumentDocument-Date
SAMPLE WEEKLY MENU 08/02/2022
CHILD CARE PRACTICES 08/07/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/07/2022
JOB RESPONSIBILITIES 08/07/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/07/2022
APPLICATION 07/11/2022
SANITATION INSPECTION 09/22/2022
EQUIPMENT LIST 08/07/2022
CERTIFICATE OF GOOD STANDING 08/02/2022
LLC OPERATING AGREEMENT 08/17/2022
LICENSING ORIENTATION 04/13/2022
LLC ARTICLES OF ORGANIZATION 07/12/2022
REGISTERING FICTITIOUS NAMES 07/12/2022
DAILY SCHEDULE 11/02/2022
POLICIES 11/02/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/02/2022
DISCIPLINE POLICIES 11/02/2022
DIAGRAM/INDOOR 08/07/2022
DIAGRAM/OUTDOOR 08/07/2022
DIRECTOR'S QUALIFICATIONS 11/02/2022
FIRE/SAFETY INSPECTION 08/04/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 11/23/2022
LOCAL BUILDING APPROVAL 11/14/2022
LOCAL ZONING APPROVAL 11/14/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
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 7
Total Children 37
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Caregivers Sherry Cingle and Dorris Hammonds with 4 children between 12- 24 months
1 0 NO CHILDREN IN ATTENDANCE Maria Kirkpatrick
1 10 PRESCHOOL Caregiver Savannah Bowersock with 10 children four to five years of age
1 10 PRESCHOOL Caregiver Donna Savona with 10 children three years of age
2 13 TWO YEAR OLDS Caregivers Candace Campbell and Alexis Villers with 13 children 2 years of age

Compliance List
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 younger twos bathroom was/were not finished with material which can be cleaned easily as evidenced by holes in the wall and chipping paint.
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

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
Violation
 Provider Comments
Violation
Furniture/equipment, white shelves in center areas, in the "older twos" and "younger ones" was not in good condition as evidenced by chipping paint and residue build up .
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
Furniture/equipment, the cabinet in front of the sink, in the "older ones" was not in good condition as evidenced by residue buildup .
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
Furniture/equipment, the white shelves, in in the bathrooms of both two year old classrooms was not in good condition as evidenced by peeling of laminate exposing a surface that can not be easily cleaned or sanitized.
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

5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Dorris Hammonds.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) 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 25-500.162 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
3 child(ren) records did not include work schedule 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
Corrected on Site

Compliance Date
1/18/2023
Violation
2 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
1/18/2023
Violation
8 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
1/18/2023
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