MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
APPLE TREE ACADEMY

Facility DVN
002958670

Phone
(573) 893-4712

Physical Address
2810 E MCCARTY ST
JEFFERSON CITY
MO 65101-4430

Owner
KIDS & COMPANY, LLC

Mailing Address

Provider/Director
WAGNER, CHERYL

E-mail Address
heather@appletree4kids.com

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
BIRTH - 14 YEARS

Capacity
98

Facility Type
GROUP HOME AND CENTER

Limitations
25 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
03/03/2023

Arrival Time
10:40 AM

Departure Time
12:33 PM

Notice
UNANNOUNCED

Inspection Type
POST LICENSING

Inspection ID
2442429731

Document	Document-Date
LICENSING ORIENTATION	11/01/2022
LLC ARTICLES OF ORGANIZATION	10/02/2022
APPLICATION	10/02/2022
POLICIES	11/08/2022
DISCIPLINE POLICIES	11/08/2022
CHILD CARE PRACTICES	11/08/2022
LOCAL FIRE DEPARTMENT NOTIFICATION	11/08/2022
SAMPLE FORMS	11/08/2022
REGISTERING FICTITIOUS NAMES	11/08/2022
JOB RESPONSIBILITIES	11/08/2022
LOCAL BUILDING APPROVAL	11/08/2022
LOCAL ZONING APPROVAL	11/08/2022
STAFF SHEET	11/08/2022
DAILY SCHEDULE	11/08/2022
SAMPLE WEEKLY MENU	11/08/2022
SAFE SLEEP POLICY	11/08/2022
FIRE/SAFETY INSPECTION	11/02/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/08/2022
EQUIPMENT LIST	11/08/2022
DIAGRAM/OUTDOOR	11/08/2022
DIAGRAM/INDOOR	11/08/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/08/2022
LINES OF ADMINISTRATIVE AUTHORITY	11/15/2022
DIRECTOR'S QUALIFICATIONS	11/15/2022
LLC OPERATING AGREEMENT	11/15/2022
SANITATION INSPECTION	11/16/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
12:00PM	1:00PM	12/29/2022
3:00PM	3:45PM	12/29/2022
8:15AM	8:30AM	12/29/2022

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 14

Total Children 83

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Madison Thompson and Brittany Barrett with 8 children, two children 4 months old, one child 5 months old, three children 6 months old and two children 7 months old.
2	8	INFANTS AND TODDLERS	Falicia Leslie and Mary Kempker with 8 children, seven children age 1 and one child 11 months old.
2	8	INFANTS AND TODDLERS	Monica Nelson and Jordyn Mason with 8 children age 1.
2	17	MIXED	Trista Keenan and Dawnita Fisher with 17 children, eight children age 2 and nine children ages 3 through 4 year's old.
1	10	MIXED	Candice Kennedy with 10 children, three children age 2 and seven children ages 3 through 5 year's old.
1	16	MIXED	Kendall Thomason and Brittany Mason with 16 children, seven children age 2 and nine children age 3.
2	0	NO CHILDREN IN ATTENDANCE	Heather Forsythe with 0 children in the main office. Karen Werner with 0 children in the kitchen.
1	9	PRESCHOOL	Melissa Steinmetz with 9 children ages 3 through 5 year's old.
1	7	PRESCHOOL	Kara Dyer with 7 children ages 3 through 5 year's 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 Compliance
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 Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
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