MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
INNOVATION LEARNING, LLC

Facility DVN
002725779

Phone
(816) 873-3620

Physical Address
18801 EAGLE PKWY
SMITHVILLE
MO 64089-9266

Owner
INNOVATION LEARNING, LLC

Mailing Address
7332 S ALTON WAY STE 13D
CENTENNIAL
CO 80112-2319

Provider/Director
GILBERTSON, JASON SCOTT

E-mail Address
EAGLEHEIGHTS@INNOVATIONLEARNING.COM

Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 13 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
10/28/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2400296497

Document	Document-Date
APPLICATION	05/01/2020
EQUIPMENT LIST	04/26/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/26/2021
ANNUAL DECLARATION	04/26/2021
LLC ARTICLES OF ORGANIZATION	07/25/2018
LLC OPERATING AGREEMENT	07/25/2018
STAFF SHEET	08/30/2018
DAILY SCHEDULE	08/30/2018
SAMPLE WEEKLY MENU	08/21/2018
DISCIPLINE POLICIES	08/21/2018
CHILD CARE PRACTICES	08/21/2018
JOB RESPONSIBILITIES	08/21/2018
DIRECTOR'S JOB RESPONSIBILITIES	08/21/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/21/2018
LINES OF ADMINISTRATIVE AUTHORITY	08/21/2018
POLICIES	08/21/2018
SAMPLE FORMS	08/21/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	08/31/2018
DIRECTOR'S QUALIFICATIONS	12/12/2018

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 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
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
19 CSR 30-62.132 Admission Policies and Procedures 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 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