MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
INNOVATION LEARNING, LLC

Facility DVN
002725779

Phone
(720) 697-3832

Physical Address
18801 COUNTY ROAD F
SMITHVILLE
MO 64089

Owner
INNOVATION LEARNING LLC

Mailing Address
7332 S ALTON WAY STE 13D
CENTENNIAL
CO 80112-2319

Provider/Director
GILBERTSON, JASON SCOTT

E-mail Address
dmorovits@innovationlearning.com

Incorporated

Child Care Specialist
WANDA ILENE TAYLOR

Age Range
5 YEARS - 13 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/22/2019

Arrival Time
3:00 PM

Departure Time
3:43 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2357254654

Document	Document-Date
EQUIPMENT LIST	08/30/2018
LLC ARTICLES OF ORGANIZATION	07/25/2018
LLC OPERATING AGREEMENT	07/25/2018
STAFF SHEET	08/30/2018
DAILY SCHEDULE	08/30/2018
SAMPLE WEEKLY MENU	08/21/2018
DISCIPLINE POLICIES	08/21/2018
CHILD CARE PRACTICES	08/21/2018
JOB RESPONSIBILITIES	08/21/2018
DIRECTOR'S JOB RESPONSIBILITIES	08/21/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/21/2018
LINES OF ADMINISTRATIVE AUTHORITY	08/21/2018
POLICIES	08/21/2018
APPLICATION	07/27/2018
SAMPLE FORMS	08/21/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	08/31/2018
DIRECTOR'S QUALIFICATIONS	12/12/2018

Inspection determined facility to be in compliance with 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.

Attendance at Time of Inspection

Total Staff 2

Total Children 20

Staff	Child	Class Age	Note
2	20	SCHOOL AGE


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 License Renewal Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Compliance
19 CSR 30-63.040 Background Screening Findings Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. Compliance