DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

APPLE BLOSSOM LEARNING CENTER LLC

002813807

(417) 349-0063

1505A N MAIN ST
MOUNTAIN GROVE
MO  65711-1038

APPLE BLOSSOM LEARNING CENTER LLC



 

SMART, SHANNON DAWN

smartshannon50@gmail.com


CAYLIN MERTZ

BIRTH - 12 YEARS

40

GROUP HOME AND CENTER

21 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/02/2023

2:15 PM

3:16 PM

UNANNOUNCED

SUPPLEMENTAL

2456081647


DocumentDocument-Date
LLC ARTICLES OF ORGANIZATION 11/11/2019
DIAGRAM/INDOOR 01/02/2020
DIAGRAM/OUTDOOR 01/02/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 01/02/2020
SAMPLE FORMS 01/02/2020
DAILY SCHEDULE 01/23/2020
CHILD CARE PRACTICES 01/02/2020
POLICIES 02/10/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/30/2020
SAMPLE WEEKLY MENU 02/10/2020
JOB RESPONSIBILITIES 02/10/2020
LINES OF ADMINISTRATIVE AUTHORITY 03/03/2020
LOCAL ZONING APPROVAL 03/03/2020
LOCAL BUILDING APPROVAL 03/03/2020
LLC OPERATING AGREEMENT 03/03/2020
DISCIPLINE POLICIES 01/02/2020
STAFF SHEET 01/02/2020
DIRECTOR'S QUALIFICATIONS 03/23/2020
ARTICLES OF INCORPORATION 11/11/2019
LICENSING ORIENTATION 12/12/2019
DIAGRAM/INDOOR 01/02/2020
FIRE/SAFETY INSPECTION 03/09/2023
ANNUAL DECLARATION 01/11/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/11/2022
EQUIPMENT LIST 01/11/2023
SANITATION INSPECTION 02/28/2023

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   9/16/2021



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 24
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Caregivers Stephanie Pierce and Megan Boyd with seven children ages 2 months old to 1 year old.
2 4 INFANTS AND TODDLERS Caregivers Mariah Goforth and Isabella Anderson with four children all 1 year old.
2 8 MIXED Caregivers Shannon and Danny Smart with eight children ages 2 to 4 years old; three children age 2 years old.
1 5 TWO YEAR OLDS Caregiver Kortnie Bunch with five 2 year old children.

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
An infant was observed sleeping in a/an infant swing. .
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification
Return Inspection

Compliance Date

Violation
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a crib mattress/pad was not sized correctly.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed