DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CDLC ELLISVILLE, INC.

002801105

(636) 484-7001

15677 MANCHESTER RD
ELLISVILLE
MO  63011-2242

CDLC ELLISVILLE, INC.

6400 S FIDDLERS GREEN CIR STE 1400
GREENWOOD VILLAGE
CO  80111-4959

NORDMAN, KELLY MARIE

tholmes@cremedelacreme.com

Incorporated

ALYSSA MARIE RILEY

6 WEEKS - 12 YEARS

523

GROUP HOME AND CENTER

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

01/05/2021

10:55 AM

3:09 PM

UNANNOUNCED

COMPLIANCE MONITORING

2390760182


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 12/18/2019
SAMPLE FORMS 12/17/2019
SANITATION INSPECTION 11/25/2020
LOCAL BUILDING APPROVAL 12/20/2019
APPLICATION 12/17/2019
DIRECTOR'S QUALIFICATIONS 12/13/2019
EQUIPMENT LIST 11/30/2020
DISCIPLINE POLICIES 12/17/2019
SAMPLE WEEKLY MENU 12/17/2019
POLICIES 12/17/2019
FIRE/SAFETY INSPECTION 10/21/2020
LOCAL ZONING APPROVAL 12/17/2019
CERTIFICATE OF GOOD STANDING 10/16/2019
ARTICLES OF INCORPORATION 04/19/2019
DIAGRAM/INDOOR 12/17/2019
DIAGRAM/OUTDOOR 12/17/2019
LINES OF ADMINISTRATIVE AUTHORITY 09/25/2019
CHILD CARE PRACTICES 12/10/2019
STAFF SHEET 11/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/17/2019
DAILY SCHEDULE 12/17/2019
JOB RESPONSIBILITIES 12/17/2019
SAFE SLEEP POLICY 12/17/2019
ANNUAL DECLARATION 12/29/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/30/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 16
Total Children 91
StaffChildClass AgeNote
1 1 INFANTS AND TODDLERS 8 months old with teacher Anitha Gopalakrishan
1 4 INFANTS AND TODDLERS 12 months-18 months with teacher Mary Ann Busch
1 4 INFANTS AND TODDLERS 18 months-24 months with teacher Lyndsay Cooledge
1 8 MIXED 2-3 years old with teacher Savannah Austin
2 0 NO CHILDREN IN ATTENDANCE Director Kelly Nordman and AD Rachael LaCroix
2 13 PRESCHOOL 3-4 years old with teachers, Roberta Valente and Jennifer Jezewak
1 9 PRESCHOOL 5 years old with teacher John Kodelja
1 8 PRESCHOOL 4 year olds with teacher Stephanie Wright
2 9 PRESCHOOL 4-5 years old with teachers Cynthia Ross and Mary Roth
1 10 PRESCHOOL 4 years old with teacher Mary Williams
1 3 SCHOOL AGE 6 years-9 years with teacher Courtney Droege
1 14 SCHOOL AGE 5-7 years old with teacher Madison Leibrecht
1 8 TWO YEAR OLDS with teacher Cindy Crosby

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
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
Violation
 Provider Comments
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
1/5/2021
Violation
The facility’s list of emergency numbers was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
1/5/2021
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver for every 20 children in capacity was not certified in first aid/CPR in that facility has 25 staff members with FA/CPR certification. The facility's capacity requires 27 staff members with FA/CPR certification.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (S) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be and approved by the department.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site 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: Mary Ann Busch, Cynthia Ross, and Jennifer Wambrodt.
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

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
The medical examination report on file was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another day care facility for subsequent 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
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
Violation
 Provider Comments
Violation
9 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
Corrected on Site

Compliance Date
1/5/2021
19 CSR 30-63.020 General Requirements
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