DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KINDERCARE LEARNING CENTERS LLC

000719851

(816) 478-2102

871 NE ANDERSON LN
LEES SUMMIT
MO  64064

KINDERCARE LEARNING CENTERS LLC



 

SUNARJO, KIMBERLY JEAN

301472@KLCORP.COM

Incorporated

JONI BEEM

6 WEEKS - 12 YEARS

160

GROUP HOME AND CENTER

40 CHILDREN IN THE INFANT/TODDLER UNIT; 24 CHILDREN UNDER 12 MONTHS; 40 CHILDREN UNDER 24 MONTHS; 102 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

07/30/2021

12:45 PM

3:23 PM

UNANNOUNCED

COMPLIANCE MONITORING

2405414088


DocumentDocument-Date
SAFE SLEEP POLICY 12/30/2016
SAMPLE FORMS 08/04/1995
DIRECTOR'S QUALIFICATIONS 04/10/2013
DIAGRAM/OUTDOOR 05/09/2000
DIAGRAM/INDOOR 05/09/2000
DAILY SCHEDULE 05/24/1995
LOCAL ZONING APPROVAL 08/25/1995
LOCAL BUILDING APPROVAL 08/25/1995
JOB RESPONSIBILITIES 08/08/1995
CHILD CARE PRACTICES 08/04/1995
REGISTERING FICTITIOUS NAMES 07/30/2009
DISCIPLINE POLICIES 08/25/1995
POLICIES 08/25/1995
LINES OF ADMINISTRATIVE AUTHORITY 08/08/1995
LLC ARTICLES OF ORGANIZATION 04/03/2017
LLC OPERATING AGREEMENT 04/03/2017
APPLICATION 03/28/2019
SANITATION INSPECTION 05/24/2021
EQUIPMENT LIST 06/18/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/18/2021
ANNUAL DECLARATION 06/18/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 17
Total Children 99
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS
2 8 INFANTS AND TODDLERS
2 7 INFANTS AND TODDLERS
2 7 INFANTS AND TODDLERS
1 3 INFANTS AND TODDLERS
2 15 PRESCHOOL 3 year olds
2 14 PRESCHOOL 3-4 year olds
1 10 PRESCHOOL 4-5 year olds
2 17 SCHOOL AGE
2 14 TWO YEAR OLDS

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

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
Medical examination report(s) was/were not on file for Crystal Bells and Victoria Blair as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
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

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Crystal Bells and Victoria Blair.
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

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

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
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by 4 children enrollment forms were not signed or dated.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

Violation
14 child(ren) records did not include work schedule 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
7/30/2021
Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-63.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Crystal Bells and Victoria Blair.
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

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