DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE KIDS KAMPUS L.L.C.

001571400

(636) 584-0533

598 INDEPENDENCE
UNION
MO  63084

CREATIVE KIDS KAMPUS L.L.C.



 

JOKERST, LISA MARIE

LMJOKERST@HOTMAIL.COM


LEATRICE L DIXON

6 WEEKS - 12 YEARS

42

GROUP HOME AND CENTER

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

05/04/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2399154016


DocumentDocument-Date
SAFE SLEEP POLICY 07/22/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/21/2021
CERTIFICATE OF GOOD STANDING 01/21/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 07/15/2020
CHILD CARE PRACTICES 11/19/2014
DISCIPLINE POLICIES 11/19/2014
POLICIES 11/19/2014
LOCAL BUILDING APPROVAL 03/19/2021
LOCAL ZONING APPROVAL 03/19/2021
DIAGRAM/INDOOR 08/18/2020
DIAGRAM/OUTDOOR 08/18/2020
DAILY SCHEDULE 12/21/2006
SAMPLE WEEKLY MENU 07/01/2013
DIRECTOR'S QUALIFICATIONS 10/04/2002
JOB RESPONSIBILITIES 06/27/2001
LINES OF ADMINISTRATIVE AUTHORITY 03/02/2001
LLC ARTICLES OF ORGANIZATION 02/28/2001
LLC OPERATING AGREEMENT 03/01/2001
APPLICATION 10/24/2018
STAFF SHEET 01/11/2019
SANITATION INSPECTION 11/30/2020
FIRE/SAFETY INSPECTION 12/15/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/01/2020
EQUIPMENT LIST 03/19/2021
ANNUAL DECLARATION 01/21/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   1/17/2013



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 Licensing Process
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
Violation
 Provider Comments
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
5/3/2021
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 7 items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (C) 1. D. states: Cloth or plastic coated books.
Correction Required
The facility shall provide approved equipment as required.

Correction Verification
Submit Documentation

Compliance Date
4/28/2021
Violation
Outdoor equipment, the wooden climber , in the preschool playground was not free of sharp parts as evidenced by there is a support bracket at the bottom of the section nearest the road side that has splintering wood.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
4/28/2021
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Mandi Marler-Lane, Brooklyn Sheets and Serenity Schuttenberg.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) . 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
4/28/2021
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Mandi Marler-Lane 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
4/28/2021
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Mandi Marler-Lane.
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
4/28/2021
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
Compliance
19 CSR 30-63.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Brooklyn Sheets and Serenity Schuttenberg.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
4/28/2021
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