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

002906109

(573) 348-1200

858 HIGHWAY 42
OSAGE BEACH
MO  65065-5763

KRADLE TO KRAYON CHILDCARE, LLC

4041 OSAGE BEACH PKWY
OSAGE BEACH
MO  65065-2150

BOONE, STACY RENEE

kradletokrayon@ymail.com


ALLA GERASIMOVA

6 WEEKS - 12 YEARS

128

GROUP HOME AND CENTER

32 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/28/2023

8:25 AM

12:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2454796261


DocumentDocument-Date
ANNUAL DECLARATION 09/18/2023
DAILY SCHEDULE 07/11/2022
JOB RESPONSIBILITIES 07/11/2022
SAFE SLEEP POLICY 07/11/2022
LLC OPERATING AGREEMENT 08/12/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/12/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/12/2022
CHILD CARE PRACTICES 08/18/2022
POLICIES 08/18/2022
APPLICATION 04/14/2022
EQUIPMENT LIST 09/18/2023
DIAGRAM/INDOOR 07/25/2022
DIAGRAM/OUTDOOR 07/25/2022
DISCIPLINE POLICIES 08/18/2022
DIRECTOR'S QUALIFICATIONS 06/05/2013
CERTIFICATE OF GOOD STANDING 09/01/2022
LLC ARTICLES OF ORGANIZATION 09/01/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/18/2023
SAMPLE WEEKLY MENU 09/02/2022
SAMPLE FORMS 09/02/2022
LOCAL BUILDING APPROVAL 09/08/2022
LOCAL ZONING APPROVAL 09/08/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 09/12/2022
LICENSING ORIENTATION 09/02/2022
FIRE/SAFETY INSPECTION 07/17/2023
SANITATION INSPECTION 06/06/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   11/10/2022



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 18
Total Children 69
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Caregivers Lisa Gillie and Johanna Rawlings are present with six infants.
2 4 INFANTS AND TODDLERS Caregivers Sarah Buterum and Katelin Rommelfanger present with four infants.
2 7 INFANTS AND TODDLERS Caregivers Kayla Wilson and Crystal Nanez with seven toddlers age 1 year old.
2 4 INFANTS AND TODDLERS Caregivers Carrie ( Danielle ) Beach and Sarah Wilson present with four toddlers all age 1 year old.
2 11 MIXED Caregivers Skye Campbell and Sage Long present with eleven children , including ten 2 years old children and one 3 years old child.
3 0 NO CHILDREN IN ATTENDANCE Stacy Boone a director, Lisa Lewis a general manager and Kathy Callahan a cook present with no children in attendance.
2 13 PRESCHOOL Caregivers Amber Rowden and Savannah Hunter present with thirteen children all age 3-4 years old.
1 10 PRESCHOOL Caregiver Celena Meilicke present with ten preschoolers ages 3-5 years old.
2 14 TWO YEAR OLDS Caregivers Amanda Cooper and Katlyn Lister present with fourteen children all age 2 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
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
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Crystal Nanez
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Kayla Wilson -0.50 h.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
Josie Adamson did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Savannah Hunter, Katelyn Rommelfanger and Crystal Nanez as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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: Johanna Rawlings, Katelyn Rommelfanger and Crystal Nanez.
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 tuberculin 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
Violation
 Provider Comments
Violation
Written parental consent was not on file for field trips and transportation.
Licensing Rule Reference
5 CSR 25-500.212 Transportation and Field Trips (1) (B) states: Written parental consent shall be on file at the facility for field trips and transportation.
Correction Required
Written parental consent shall be on file at the facility for field trips and transportation.

Correction Verification
Submit Documentation

Compliance Date

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