DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE LEARNING CENTER PRESCHOOL & INFANT CARE LLC

002586214

(417) 887-4180

2555 S CAMPBELL AVE
SPRINGFIELD
MO  65807-3501

CREATIVE LEARNING CENTER PRESCHOOL & INFANT CARE LLC



 

BRYAN, CYNTHIA LYNN

clckids.cindy@gmail.com

Incorporated

ANGEL DONSON

BIRTH - 12 YEARS

65

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

09/13/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2408062788


DocumentDocument-Date
STAFF SHEET 07/08/2020
FIRE/SAFETY INSPECTION 03/02/2020
APPLICATION 02/25/2020
EQUIPMENT LIST 05/07/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/07/2021
ANNUAL DECLARATION 05/07/2021
SANITATION INSPECTION 04/06/2021
DIRECTOR'S QUALIFICATIONS 05/25/2016
DISCIPLINE POLICIES 06/01/2016
CHILD CARE PRACTICES 06/01/2016
DAILY SCHEDULE 06/01/2016
DIAGRAM/INDOOR 06/01/2016
DIAGRAM/OUTDOOR 06/01/2016
JOB RESPONSIBILITIES 06/02/2016
LINES OF ADMINISTRATIVE AUTHORITY 06/01/2016
LOCAL ZONING APPROVAL 06/03/2016
LOCAL BUILDING APPROVAL 06/03/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 06/01/2016
OWNER/PROVIDER REFERENCES 06/01/2016
POLICIES 06/01/2016
SAMPLE FORMS 06/01/2016
SAMPLE WEEKLY MENU 06/01/2016
LLC ARTICLES OF ORGANIZATION 06/01/2016
LLC OPERATING AGREEMENT 02/29/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/04/2018
SAFE SLEEP POLICY 06/03/2016




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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Maggie Barnett, Cynthia Beaumount, Angel Bossaller, Cynthia Bryan, Rachel Bryan, Susan Cha, Karah Domenico, Rhianna Jordan, Lynn Rose, Vurlla Lynn, Michael Martin, Danyle Rodriguez, Bailey See, Alyssa Stewart, Tiana Vaughan, Kelsey Watson Crystal Whitecotton within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
9/3/2021
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by cots were stored in such a way as to create cross contamination as blankets hanging over a cot were touching other cots. A basket labeled "dirty laundry and soiled sheets is located in the hallway accessible to the boys on their way to their bathroom.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
9/13/2021
Violation
The observed surface area under red slide on the preschool play yard, from which a child might fall consists of concrete.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
9/3/2021
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the post holding up the awnings on the infant/toddler and preschool play yards have openings measuring 6 1/2 inches.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
9/13/2021
Violation
The facility's outdoor space was not safe for children's activities as evidenced by 2 resilient mats on the play yard had moved creating a gap, with exposed concrete in the fall zone of the red slide.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date
9/3/2021
Violation
There was evidence of dirt/debris in the washing machine used to wash the children's sheets and blankets.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Submit Documentation

Compliance Date
9/3/2021
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
Outdoor equipment, plastic climber/slide, in preschool play yard was not in good condition as evidenced by a large crack was repaired by lacing plastic zip ties through holes, zip ties were cut making sharp edges accessible to the children.
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
9/6/2021
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Tiana Vaughan.
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
9/13/2021
Violation
Medical examination report(s) was/were not on file for Alyssa Stewart and Tiana Vaughan 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
9/7/2021
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
Violation
 Provider Comments
Violation
Caregiver did not provide frequent, direct contact as evidenced by 2 children ages 5 years were sent to the bathroom and were not within direct caregiver eye sight once they left the classroom area.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.
Correction Required
The facility shall provide competent adult supervision for each child as required.

Correction Verification
Return Inspection

Compliance Date
9/13/2021
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
1 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
Submit Documentation

Compliance Date
9/6/2021
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