DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE SPROUT'S CLUBHOUSE LLC

002397642

(573) 455-2020

332 COUNTY ROAD 501
JEFFERSON CITY
MO  65101

LITTLE SPROUT'S CLUBHOUSE LLC



 

MASSMAN, JENNA

jenna.massman@gmail.com


LAUREN R RAYWARNKE

6 WEEKS - 12 YEARS

78

GROUP HOME AND CENTER

16 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/07/2020

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2383861148


DocumentDocument-Date
SAMPLE WEEKLY MENU 05/07/2013
SAMPLE FORMS 07/29/2013
OWNER/PROVIDER REFERENCES 08/20/2013
LOCAL ZONING APPROVAL 09/05/2013
LOCAL BUILDING APPROVAL 09/05/2013
LLC OPERATING AGREEMENT 05/07/2013
LLC ARTICLES OF ORGANIZATION 05/07/2013
LINES OF ADMINISTRATIVE AUTHORITY 09/05/2013
JOB RESPONSIBILITIES 05/28/2013
DAILY SCHEDULE 05/07/2013
DIAGRAM/INDOOR 04/03/2013
DIAGRAM/OUTDOOR 09/05/2013
DIRECTOR'S QUALIFICATIONS 08/05/2013
POLICIES 05/09/2013
CHILD CARE PRACTICES 05/09/2013
DISCIPLINE POLICIES 05/09/2013
APPLICATION 05/13/2019
EQUIPMENT LIST 05/13/2019
STAFF SHEET 05/16/2019
FIRE/SAFETY INSPECTION 06/24/2020
SANITATION INSPECTION 05/27/2020

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:40PM   4:55PM   7/6/2015
  6:45AM   7:30AM   7/6/2015



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
Compliance
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
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
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Lindsie Conley.
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
7/21/2020
19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/7/2020
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
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 210.115. 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