DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

THE CRAYON ACADEMY, LLC

002751900

(417) 362-9287

122 S JACKSON ST
MOUNTAIN VIEW
MO  65548-7410

THE CRAYON ACADEMY, LLC

5518 S KIMBROUGH AVE
SPRINGFIELD
MO  65810-2730

SOUTHWORTH, CAITLYN NICOLE

HEATHERDEANN6@GMAIL.COM


ELAINE S COX

24 MONTHS - 12 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

10/11/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2456358106


DocumentDocument-Date
DIAGRAM/INDOOR 02/13/2019
DIAGRAM/OUTDOOR 02/13/2019
OWNER/PROVIDER REFERENCES 02/13/2019
LLC ARTICLES OF ORGANIZATION 01/15/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 03/04/2019
JOB RESPONSIBILITIES 03/15/2019
SAMPLE WEEKLY MENU 03/15/2019
LOCAL ZONING APPROVAL 03/25/2019
ANNUAL DECLARATION 12/19/2022
EQUIPMENT LIST 12/19/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/22/2022
FIRE/SAFETY INSPECTION 11/16/2022
SANITATION INSPECTION 11/10/2022
DIRECTOR'S QUALIFICATIONS 05/19/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/27/2022
LINES OF ADMINISTRATIVE AUTHORITY 06/27/2022
POLICIES 06/17/2022
CHILD CARE PRACTICES 06/27/2022
DISCIPLINE POLICIES 06/27/2022
DAILY SCHEDULE 06/17/2022
LLC OPERATING AGREEMENT 06/17/2022
LICENSING ORIENTATION 09/13/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   4:30PM   4/6/2020
  7:30AM   8:30AM   4/6/2020



Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 3 enrollment forms did not give the facility permission to obtain emergency medical care in the event of an emergency and the parents could not be reached.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
10/11/2023
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