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
02/24/2023

Arrival Time
3:00 PM

Departure Time
3:33 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2441060952

Document	Document-Date
EQUIPMENT LIST	08/04/2022
ANNUAL DECLARATION	08/04/2022
LICENSING ORIENTATION	08/08/2022
SAFETY PLAN	08/08/2022
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
FIRE/SAFETY INSPECTION	01/09/2023

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: 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.

Attendance at Time of Inspection

Total Staff 1

Total Children 8

Staff	Child	Class Age	Note
1	8	MIXED	two children under age 2 (10 months and 21 months) and 6 ages 3-5 with provider


5 CSR 25-400.025 Organization and Administration Compliance
5 CSR 25-400.045 Licensing Process Compliance
5 CSR 25-400.055 Annual Requirements Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Compliance
5 CSR 25-400.086 Fire Safety Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Compliance
5 CSR 25-400.115 Child Care Family and Household Compliance
5 CSR 25-400.125 Medical Examination Reports Not Observed
5 CSR 25-400.135 Admission Policies and Procedures Compliance
5 CSR 25-400.145 Nighttime Care Compliance
5 CSR 25-400.155 Overlap Care of Children Compliance
5 CSR 25-400.165 Emergency School Closings Not Observed
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Not Observed
5 CSR 25-400.190 Nutrition and Food Service Compliance
5 CSR 25-400.200 Transportation and Field Trips Compliance
5 CSR 25-400.210 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance