DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE WORLD SCHOOL, INC.

001878473

(816) 781-3343

1500 NE 96TH ST
LIBERTY
MO  64068

CREATIVE WORLD SCHOOL, INC.

6314 OVERTON AVE
RAYTOWN
MO  64133-5013

BOSSE, LINDSAY MAE

MCCABE, BILLIE

LIBERTY@CREATIVEWORLDSCHOOL.COM

Incorporated


AMY C KENNEDY

6 WEEKS - 10 YEARS

255

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT; 12 CHILDREN UNDER 12 MONTHS
 
Inspection Information

01/28/2020

2:00 PM

7:00 PM

UNANNOUNCED

COMPLIANCE MONITORING

2374889516


DocumentDocument-Date
LOCAL BUILDING APPROVAL 09/02/2004
POLICIES 08/26/2004
DISCIPLINE POLICIES 08/26/2004
CHILD CARE PRACTICES 08/26/2004
ARTICLES OF INCORPORATION 08/26/2004
DIAGRAM/OUTDOOR 09/03/2004
DIAGRAM/INDOOR 09/03/2004
JOB RESPONSIBILITIES 08/26/2004
LINES OF ADMINISTRATIVE AUTHORITY 08/26/2004
DAILY SCHEDULE 08/26/2004
DIRECTOR'S QUALIFICATIONS 11/18/2016
LOCAL ZONING APPROVAL 09/02/2004
SAMPLE FORMS 09/07/2004
SAMPLE WEEKLY MENU 08/26/2004
APPLICATION 06/11/2018
SANITATION INSPECTION 07/13/2018
STAFF SHEET 06/11/2018
EQUIPMENT LIST 06/11/2018
FIRE/SAFETY INSPECTION 07/25/2018
SAFE SLEEP POLICY 01/29/2016




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 28
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 19
Total Children 120
StaffChildClass AgeNote
1 8 INFANTS AND TODDLERS Staff -Kailey Bode
2 8 INFANTS AND TODDLERS Staff - Lindsey Ritter Morgan Molzahn
2 6 INFANTS AND TODDLERS Staff - Brooke Siever and Cecily Johnson
1 4 INFANTS AND TODDLERS Kristin O'Dell
2 16 PRESCHOOL Brittany Pfaff Damian Palmer
2 16 PRESCHOOL 2 staff - Barbie Pfaff Damian Palmer
1 10 PRESCHOOL staff - Alicia Sizemore
2 14 PRESCHOOL 2 staff Ruby Covey - Graham Jane Ratliff
2 12 PRESCHOOL Staff Daneco Hill Amanda Segura
2 14 PRESCHOOL 2 staff in room - Michelle Searcy Amado Donnelly
2 12 PRESCHOOL Staff - Alyca Plair and Andrea Andrus

 
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
The premises were not safe and suitable as evidenced by the furnace room in the giraffe room was unlocked.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The premises were not safe and suitable as evidenced by cords were on the floor or dangling in the panthers and lions room.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlets in the Giraffe, 4 outlets in school-age area, in infant hallway1 outlet.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: a purse with medication visible and Lysol wipes in an unlocked cabinet and bleach Mr. Clean, Descaler and Dawn soap on the floor. The item(s) was/were located in the Gorilla room and the kitchen. The kitchen door was propped open open allowing access..
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The ceilings located penguin, was/were not in good condition as evidenced by 3 tiles were water stained in the penguin, and1 ceiling tile in the white tiger.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in the Seals, Elephants, Zebras, Lions, Chimps, Dolphins and school-age area was/were not in good condition as evidenced by there are 2 holes in the wall in the chimp room and chipping paint in the others..
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
Window and door requirements were not met as evidenced by no barrier on window less than 24 inches from the floor and not constructed of safety glass.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 2. states: Open windows and doors shall be screened securely. Barriers to prevent children from falling against windows or falling from windows shall be provided when windows are less than twenty-four inches (24") from the floor and not constructed of safety glass or other nonbreakable material.
Correction Required
Open windows and doors shall be screened securely and barriers shall be installed as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The temperature of rooms was less than 68 degrees F measured two feet from the floor as evidenced by in the seals the thermostat read 65 degrees F and in whales the thermostat read 67 degrees F at approximately 5 feet from the floor.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 5. states: The facility shall be dry, temperature controlled, well-ventilated and free of drafts. Children shall not be overheated or chilled. The temperature of the rooms shall be no less than sixty-eight degrees Fahrenheit (68 F) and no more than eighty-five degrees Fahrenheit (85 F) when measured two feet (2') from the floor.
Correction Required
The facility shall meet temperature, humidity and ventilation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by the poured matting was raised up in the preschool play area creating a potential tripping hazard.
Licensing Rule Reference
19 CSR 30-62.082 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
Submit Documentation

Compliance Date

19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 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 panthers, whales and the school-age area did not have a plan in their rooms.
Licensing Rule Reference
19 CSR 30-62.090 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
Submit Documentation

Compliance Date

19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Verification of safe sleep training was not documented and maintained as evidenced by Michelle Searcy, Barb Black, Stephanie Shapiro, Brooke Sievert, Lauren Troxel, Ruby Covey-Graham, Booke Beasley, Kaylee Cassidy, Amy Cahoon, Cecily Johnson, Christie Long, , Morgan Molzahn, , Kristin O'Dell .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (A) states: The training shall be documented and maintained as described in paragraph (3)(F)2. of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
The director is not routinely on duty as required, as evidenced by the approved director on file is no longer employed..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Dameon Palmer, Michelle Searcy, Stephanie Shapiro, Brooke Sievert, Ruby Covey-Graham, Amy Cahoon and Christie Long, .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Alyca Blair, Christie Long, Kristin O'Dell, Brooke Beasley, Stephanie Shipiro Michelle Searcy and Brooke Sievert.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Michelle Searcy, Brooke Beasley, Alyca Blaiir, Amy Cahoon, Christie Long, Stephanie Shapiro Morgan Molzahn, Brooke Sievert and Kristin O'Dell.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Andrea Adrus 12 hours, Brooke Beasley 12 hours, Alyca Blair 8 hours, Kaylee Cassiday 10.5 hours, Amy Cahoon 1.5 hours, , Amanda Donnelly 9 hours, Danece Hill 9 hours, Melissa Hill 7.5 hours, Cecily Johnson 12 hours, Morgan Molzahn 8.5 hours, Shannon Nevels 8.5 hours, Emily Paeth 7.5 hours, Amanda Segura 8.5 hours, Alicia Sizemore 9 hours, and Lindsey Barnes 9 hours, Barb Black 8.5 hour, Kennedy Pierce 9 hours, Jane Ratliff, 7.5 hours, Lindsey Ritter 11 hours, Stephanie Shapiro 2 hours, Brooke Sievert 2 hours, Brittany Suresh 8.5 training, Lauren Troxel 10 hours and Ruby Covey Graham 2 hours of training needed for 2019.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by one children ages one and two years old were cared for by one caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source.
Licensing Rule Reference
19 CSR 30-62.122 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.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Ruby Covey-Graham and Amy Cahoon.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report(s) was/were not on file for Kristin O'Dell and Ruby Covey-Graham as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day 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

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
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 8 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
An individual file was not kept for One child record did not include enrollment page with all required information. child(ren).
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) . states: An individual file shall be kept to identify each child and enable the provider to communicate with the parent(s), guardian or legal custodian of the child in an emergency.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
Two child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Five 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

Violation
One child(ren) records did not include home 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

Violation
Five 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

Violation
Four child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by Of the twenty-five child records reviewed, twelve records did not have all the required information..
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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 210.115. 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