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

ALLEN, JERI LYNN

director.liberty@creativeworldschool.com

Incorporated

JILL EILEEN ZEIGENBEIN

6 WEEKS - 10 YEARS

255

GROUP HOME AND CENTER

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

05/20/2020

1:50 PM

3:34 PM

ANNOUNCED

SUPPLEMENTAL

2380293192


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: 4
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 15
Total Children 56
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Dolphins - 1 year olds Brooke Siezert Kailey Bode
2 4 INFANTS AND TODDLERS Shannon Nevels Morgan Molzahn
1 6 PRESCHOOL 5 year olds Alicia Sizemore
1 5 PRESCHOOL 5 year olds Brittney Suresh
1 3 PRESCHOOL 4 year olds Stephanie Greathouse
1 4 PRESCHOOL 4 year olds Tiffany Shank
1 6 PRESCHOOL 3 year old room Jane Ratliff
2 7 PRESCHOOL 3 year old room Amanda Donnelly Denece Hill
1 5 SCHOOL AGE Lauren Troxel-Elliott
1 5 SCHOOL AGE Vianney Zubia Chavez
1 2 TWO YEAR OLDS Alyca Blair
1 4 TWO YEAR OLDS Lindsey Ritter

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
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
3/5/2020
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
3/5/2020
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
2/21/2020
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
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

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 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
3/6/2020
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

19 CSR 30-62.112 Staff/Child Ratios
Not Observed
19 CSR 30-62.122 Medical Examination Reports
Not Observed
19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
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
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
One 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
Corrected on Site

Compliance Date
5/20/2020
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
3/5/2020
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
3/5/2020
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
3/5/2020
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
3/5/2020
19 CSR 30-63.040 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