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

002179851

(573) 964-0333

81 N SHORE DR
LAKE OZARK
MO  65049-7103

KRADLE TO KRAYON CHILDCARE, LLC

336 CHERRY HILL LN
LAKE OZARK
MO  65049-5745

COLE, AMY LYNN

kradletokrayon@ymail.com


SHARLENE WHEATLEY

6 WEEKS - 12 YEARS

90

GROUP HOME AND CENTER

12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

11/20/2024

11:00 AM

2:49 PM

UNANNOUNCED

COMPLIANCE MONITORING

2482819073


DocumentDocument-Date
OWNER/PROVIDER REFERENCES 11/24/2009
DISCIPLINE POLICIES 09/08/2009
LINES OF ADMINISTRATIVE AUTHORITY 08/07/2009
LLC ARTICLES OF ORGANIZATION 04/11/2009
DIAGRAM/INDOOR 11/24/2010
CHILD CARE PRACTICES 09/08/2009
SAMPLE WEEKLY MENU 09/08/2009
POLICIES 09/08/2009
LOCAL BUILDING APPROVAL 11/24/2009
JOB RESPONSIBILITIES 11/24/2009
DIAGRAM/OUTDOOR 09/08/2009
DAILY SCHEDULE 11/16/2009
APPLICATION 08/18/2019
STAFF SHEET 09/05/2019
DIRECTOR'S QUALIFICATIONS 10/29/2019
SANITATION INSPECTION 08/28/2024
EQUIPMENT LIST 10/04/2023
ANNUAL DECLARATION 10/02/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/03/2024
FIRE/SAFETY INSPECTION 08/28/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 3
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 10
Total Children 51
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Caregiver Deylaynah Roberts present with four infants ages 4-6 month,
1 4 INFANTS AND TODDLERS Caregiver Nicole Bennett present with four 1 year old toddlers.
1 4 INFANTS AND TODDLERS Caregiver Krista Coontz present with four 1 year old toddlers.
2 12 MIXED Caregivers Nicole Maxon and Brandi Blackerby present with twelve children, including six 2 years old and six 3 year old children.
2 0 NO CHILDREN IN ATTENDANCE Director Amy Cole and owner Ralph Johnson present with no children in attendance.
1 7 PRESCHOOL Caregiver Khloe Noll present with seven preschoolers ages 4-5 years old outside.
2 20 PRESCHOOL Caregivers Serena Rearden and Charlie Launderville present with twenty preschoolers ages 3 years old outside. Later during the inspection caregiver Lisa Lewis stepped in for Serena Rearden, who left.

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
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by one wooden board of the wooden climber had a spot that came off and was sticking up, it presented a potential tripping hazard .
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
11/20/2024
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the board of the large wooden climber on a preschool playground had an exposed nail head.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
11/20/2024
Violation
Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
11/20/2024
Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
11/20/2024
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by a preschool classroom was missing emergency plan and diagrams for evacuation. During the inspection director posted them in the room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
11/20/2024
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Blackerby Brandi .
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.

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 Blackerby Brandi 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
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 1/12/2024.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file 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
Violation
 Provider Comments
Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by a wet or soiled diaper was not placed in an airtight disposal container.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (E) 5. states: Wet or soiled diapers shall be placed in an airtight disposal container located in the diaper change area. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.

Correction Verification
Corrected on Site

Compliance Date
11/20/2024
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