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

09/02/2021

10:45 AM

12:08 PM

UNANNOUNCED

COMPLIANCE MONITORING

2407824499


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: 5
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 5
Total Children 25
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Lisa Jokerst (director) and Kim Lueken (cook) with children ages 1 to 2 years
1 4 PRESCHOOL Amanda Lane with children ages 3 years
1 6 PRESCHOOL Leslie Jenks with children ages 4 years
1 9 PRESCHOOL Andrea King with children ages 4 to 5 years

 
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 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The requirements for sleeping materials were not met as evidenced by 1 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Corrected on Site

Compliance Date
9/2/2021
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Corrected on Site

Compliance Date
9/2/2021
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 (Child A needs DTAP, Hib and PCV) child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
There was no parental written objection to immunizations on file for 1 (Child C has a religious exemption card copy and not a parental exemption card in the file) child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (B) 2. B. states: A parent or guardian exemption, by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department (see 19 CSR 40-61.185).
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
An individual file was not kept for 1 (Child D's file is incomplete. It is not signed or initialed) child(ren).
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) . states: An individual file shall be kept to identify each child and enable the provider to communicate with the parent(s), guardian or legal custodian of the child in an emergency.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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