DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE KIDS KAMPUS L.L.C.

001571400

(636) 584-0533

598 INDEPENDENCE
UNION
MO  63084

CREATIVE KIDS KAMPUS L.L.C.



 

JOKERST, LISA MARIE

LMJOKERST@HOTMAIL.COM


LEATRICE L DIXON

24 MONTHS - 12 YEARS

43

GROUP HOME AND CENTER

 
Inspection Information

09/20/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2364988331


DocumentDocument-Date
CHILD CARE PRACTICES 11/19/2014
DISCIPLINE POLICIES 11/19/2014
POLICIES 11/19/2014
LOCAL BUILDING APPROVAL 06/18/2001
LOCAL ZONING APPROVAL 06/18/2001
DIAGRAM/INDOOR 03/28/2001
DIAGRAM/OUTDOOR 03/28/2001
DAILY SCHEDULE 12/21/2006
SAMPLE WEEKLY MENU 07/01/2013
DIRECTOR'S QUALIFICATIONS 10/04/2002
JOB RESPONSIBILITIES 06/27/2001
LINES OF ADMINISTRATIVE AUTHORITY 03/02/2001
LLC ARTICLES OF ORGANIZATION 02/28/2001
LLC OPERATING AGREEMENT 03/01/2001
APPLICATION 10/24/2018
STAFF SHEET 01/11/2019
EQUIPMENT LIST 01/11/2019
SANITATION INSPECTION 12/20/2018
FIRE/SAFETY INSPECTION 01/03/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/23/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   1/17/2013



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.

 
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
Violation
 Provider Comments
Violation
Bathroom supplies were not available and accessible to children as evidenced by paper towels were not within children's reach.
Licensing Rule Reference
19 CSR 30-62.082 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
Submit Documentation

Compliance Date
9/4/2019
Violation
The provider did not provide resilient material necessary for the protection of children as evidenced by the pea gravel on the 2 year old and preschool playgrounds has shifted and is not providing sufficient resilient surfacing.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

Correction Verification
Submit Documentation

Compliance Date
8/9/2019
Violation
There was evidence of dirt/debris in the two year old room on the ceiling fans.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Submit Documentation

Compliance Date
8/9/2019
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Stationary equipment, the geodome climber on the preschool playground, was unsafe as evidenced by the equipment was placed in close proximity to the tree(s) which could cause a collision hazard - the tree(s) location and measured distance from the play equipment was 8 inches.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Submit Documentation

Compliance Date
8/9/2019
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 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
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
Violation
 Provider Comments
Violation
There was no parental written objection to immunizations on file for Child 4 (preschooler) has a religious exemption card in the file. The exemption card needs to be a parental exemption card child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (B) 2. B. states: A parent or guardian exemption, by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department (see 19 CSR 40-61.185).
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/9/2019
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
Violation
 Provider Comments
Violation
1 (Child 4) child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/9/2019
Violation
1 (Child 2 is missing work schedule for both parents) child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/9/2019
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance