DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE WORLD SCHOOL - COUNTRYSIDE

002443538

(816) 373-6700

19701 SW EAST US HIGHWAY 40
BLUE SPRINGS
MO  64015-2235

EARLY LEARNING CENTER COUNTRYSIDE, LLC

6314 OVERTON AVE
RAYTOWN
MO  64133-5013

FIZER, BONNIE JO

COUNTRYSIDE@CREATIVEWORLDSCHOOL.COM


ROBYN EMBREE

6 WEEKS - 10 YEARS

244

GROUP HOME AND CENTER

40 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

12/01/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2413866550


DocumentDocument-Date
LOCAL BUILDING APPROVAL 11/08/2013
LOCAL ZONING APPROVAL 11/08/2013
LLC OPERATING AGREEMENT 10/25/2013
LLC ARTICLES OF ORGANIZATION 10/25/2013
SAMPLE FORMS 11/08/2013
POLICIES 11/08/2013
LINES OF ADMINISTRATIVE AUTHORITY 11/08/2013
JOB RESPONSIBILITIES 11/08/2013
DISCIPLINE POLICIES 11/08/2013
DIAGRAM/OUTDOOR 12/04/2008
DIAGRAM/INDOOR 12/04/2008
DAILY SCHEDULE 11/08/2013
CHILD CARE PRACTICES 11/08/2013
SAMPLE WEEKLY MENU 06/09/2016
CERTIFICATE OF GOOD STANDING 11/13/2017
SAFE SLEEP POLICY 05/24/2018
APPLICATION 11/06/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/19/2019
DIRECTOR'S QUALIFICATIONS 12/23/2019
ANNUAL DECLARATION 12/01/2020
SANITATION INSPECTION 11/17/2020
FIRE/SAFETY INSPECTION 01/19/2021
EQUIPMENT LIST 12/01/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/01/2020




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Mary Barber - needs 2.75, Shawnetta Dawson - needs 1.5, Jennifer DeHart - needs 6, Cindy Miranda- needs 1.5, Nyurka Ramirez - needs 12, Chelsey Tonnar - needs 3.5, Sheyla Corcoran - needs 1 and Yolanda Hayes - needs 8..
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
12/1/2021
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 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 seven child(ren).
Licensing Rule Reference
5 CSR 25-500.192 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
12/1/2021
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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