DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE EXPRESSIONS LEARNING CENTER, IMPERIAL

002639158

(636) 296-4448

2862 SECKMAN RD
IMPERIAL
MO  63052-1941

CADENCE EDUCATION MISSOURI, LLC



 

PONZAR, SHANNON MARIE

Director.Imperial@CreativeExpressionsLearningCenter.com

Incorporated

BRITTANY HECHT

6 WEEKS - 12 YEARS

148

GROUP HOME AND CENTER

32 CHILDREN IN THE INFANT/TODDLER UNIT; 14 CHILDREN UNDER 12 MONTHS
 
Inspection Information

10/05/2021

11:15 AM

2:17 PM

UNANNOUNCED

COMPLIANCE MONITORING

2410050148


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/20/2021
DAILY SCHEDULE 02/06/2017
CHILD CARE PRACTICES 02/06/2017
DIAGRAM/INDOOR 02/03/2017
DIAGRAM/OUTDOOR 02/06/2017
DIRECTOR'S QUALIFICATIONS 01/27/2017
DISCIPLINE POLICIES 02/06/2017
JOB RESPONSIBILITIES 02/06/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 02/21/2017
POLICIES 02/06/2017
SAMPLE FORMS 02/06/2017
SAMPLE WEEKLY MENU 02/06/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/26/2018
SAFE SLEEP POLICY 04/19/2017
APPLICATION 12/17/2018
EQUIPMENT LIST 03/10/2021
LINES OF ADMINISTRATIVE AUTHORITY 02/11/2019
STAFF SHEET 02/11/2019
LOCAL BUILDING APPROVAL 01/01/2019
REGISTERING FICTITIOUS NAMES 01/05/2019
FIRE/SAFETY INSPECTION 01/19/2021
SANITATION INSPECTION 02/17/2021
LLC ARTICLES OF ORGANIZATION 12/19/2016
LLC OPERATING AGREEMENT 02/11/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 13
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 19
Total Children 83
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Paige Fleetwood & Angie Bennett, Caregivers 5 - 2-9 Month Olds
1 4 INFANTS AND TODDLERS Jillian Callahan, Caregiver 4 - 12-15 Month Olds
2 8 INFANTS AND TODDLERS Nikki Alty & Bri Teer, Caregivers 8 - 12-17 Month Olds
2 7 INFANTS AND TODDLERS Mina Hays & Madison Dierker, Caregivers 5 - 17-23 Month Olds 2 - 2 Year Olds
4 0 NO CHILDREN IN ATTENDANCE Natalie Sullivan, Assistant Director Brittany Dettenmeier & Brandon Ruegge, Caregivers Jennifer Prorer, Cook
1 7 PRESCHOOL Bailey Dallas, Caregiver 7 - 3 & 4 Year Olds
2 15 PRESCHOOL Julie Griffin & Kristy Dove, Caregivers 15 - 4 & 5 Year Olds
2 18 PRESCHOOL Elizabeth Howard & Carrie Brooks, Caregivers 18 - 3 & 4 Year Olds
1 5 PRESCHOOL Ross Baumer, Caregiver 5 - 4 & 5 Year Olds
2 14 TWO YEAR OLDS April Smith & Mackenzie Cox, Caregivers 14 - 2 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
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in the School Age Classroom was/were not in good condition as evidenced by the paint is peeling in the corner near the window & basket chair exposing bare sheetrock/drywall.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in Classroom E was/were not finished with material which can be cleaned easily as evidenced by the finish had peeled off the bathroom door near the handle exposing bare wood.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located in Classroom E was/were not finished with material which can be cleaned easily as evidenced by there are 2 large holes exposing bare sheetrock/drywall.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by various unknown weeds & grasses were growing through the fencing on each Playground.
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

Violation
The floors located in the bathrooms of Classrooms F, G & H was/were not finished with material which can be cleaned easily as evidenced by the tiles have cracked or separated back by the toilets in each bathroom.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: Hand Sanitizer & Bath & Body Works Lotion & Spray. The item(s) was/were located on the cube in the School Age Classroom.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/5/2021
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
The door, located in the School Age Classroom, used as an exit from the facility was locked.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

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
Outdoor equipment, the Storage Container/Box, in the Preschool Playground was not in good condition as evidenced by the side was cracked not allowing the lid to properly close.
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

Violation
Outdoor equipment, the Water Table Lid, in the Preschool Playground was not in good condition as evidenced by it was cracked.
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

19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Madison Dierker.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Nichole Alty, Emily Crider, Kristy Dove, Emma Dugan, Mina Hays, Brandon Ruegge & Brianna Teer.
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

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 Jillian Callahan, Mackenzie Cox, Emma Dugan & Brandon Ruegge 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

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jillian Callahan, Mackenzie Cox, Emma Dugan & Brandon Ruegge.
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
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 Kristy Dove.
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