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
12/05/2023

Arrival Time
11:22 AM

Departure Time
11:22 AM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2457249805

Document	Document-Date
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
FIRE/SAFETY INSPECTION	07/17/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/03/2023
EQUIPMENT LIST	08/03/2023
ANNUAL DECLARATION	08/03/2023
SANITATION INSPECTION	04/20/2023

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: 1

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