DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LAKEWOOD MONTESSORI

002805718

(816) 795-1720

5021 NE LAKEWOOD WAY
LEES SUMMIT
MO  64064-1990

PEARL CRESCENT MONTESSORI, LLC



 

TARIQ, OMAIR

admin@lwmontessori.com


JONI BEEM

6 WEEKS - 12 YEARS

194

GROUP HOME AND CENTER

24 CHILDREN IN THE INFANT/TODDLER UNIT; 13 CHILDREN UNDER 12 MONTHS; 129 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

02/01/2021

9:00 AM

11:41 AM

UNANNOUNCED

COMPLIANCE MONITORING

2392587247


DocumentDocument-Date
FIRE/SAFETY INSPECTION 01/26/2021
LLC OPERATING AGREEMENT 09/13/2019
REGISTERING FICTITIOUS NAMES 12/19/2019
LLC ARTICLES OF ORGANIZATION 12/13/2019
SAMPLE WEEKLY MENU 12/20/2019
SAFE SLEEP POLICY 12/20/2019
POLICIES 12/20/2019
LINES OF ADMINISTRATIVE AUTHORITY 09/13/2019
DISCIPLINE POLICIES 12/20/2019
DIAGRAM/OUTDOOR 12/20/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/20/2019
DIAGRAM/INDOOR 12/20/2019
DAILY SCHEDULE 12/20/2019
CHILD CARE PRACTICES 11/20/2019
APPLICATION 09/13/2019
LOCAL BUILDING APPROVAL 01/25/2020
JOB RESPONSIBILITIES 01/25/2020
DIRECTOR'S QUALIFICATIONS 02/08/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 02/08/2020
STAFF SHEET 12/30/2020
EQUIPMENT LIST 12/30/2020
ANNUAL DECLARATION 12/30/2020
SANITATION INSPECTION 11/12/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 78
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS 5 months -12 months Alisha Gul, Leah Nelson
1 4 INFANTS AND TODDLERS 1 year olds, Leah Shulse
1 4 INFANTS AND TODDLERS 1 year- Arliss Gant
4 0 NO CHILDREN IN ATTENDANCE Joyce Ivey, Brittany O'Neal, Farshad Rezvanianzadeh, and Omair Tariq
1 10 PRESCHOOL 3-5 years, Kristine Armaro
1 9 PRESCHOOL 3 years Veronica Fails
2 20 PRESCHOOL 3-5 years, Jamie Norris and Tabitha Enahoro
1 8 TWO YEAR OLDS Soffia Hernandez
2 16 TWO YEAR OLDS Parva Rezvanian and Irene Jaikowski

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Not Observed
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
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Requirements for safe sleep training were not met in that the following staff did not complete department-approved safe sleep training within the past three years: Arliss Gant.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

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: Parva Rezvani (1.5).
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): Veronica Fails and Brittany O'Neal.
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
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Farshad Rezvanianzadeh.
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Frashad Rezvanianzedeh, Veronica Fails, Brittany O;Neal, and Hannah Hagle.
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 Britanny O'Neal, Hannah Hagle, Jamie Norris, Leah Shulse, 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
Not Observed
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 30-63.020 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