DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CDLC ELLISVILLE, INC.

002801105

(636) 484-7001

15677 MANCHESTER RD
ELLISVILLE
MO  63011-2242

CDLC ELLISVILLE, INC.

6400 S FIDDLERS GREEN CIR STE 1400
GREENWOOD VILLAGE
CO  80111-4959

NORDMAN, KELLY MARIE

tholmes@cremedelacreme.com

Incorporated

KATHERINE D SIMS

6 WEEKS - 12 YEARS

523

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

01/06/2022

10:15 AM

12:42 PM

UNANNOUNCED

COMPLIANCE MONITORING

2415595640


DocumentDocument-Date
ANNUAL DECLARATION 12/02/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/02/2021
APPLICATION 12/17/2019
DIRECTOR'S QUALIFICATIONS 12/13/2019
EQUIPMENT LIST 12/02/2021
DISCIPLINE POLICIES 12/17/2019
SAMPLE WEEKLY MENU 12/17/2019
POLICIES 12/17/2019
FIRE/SAFETY INSPECTION 10/25/2021
LOCAL ZONING APPROVAL 12/17/2019
CERTIFICATE OF GOOD STANDING 10/16/2019
ARTICLES OF INCORPORATION 04/19/2019
DIAGRAM/INDOOR 12/17/2019
DIAGRAM/OUTDOOR 12/17/2019
LINES OF ADMINISTRATIVE AUTHORITY 09/25/2019
CHILD CARE PRACTICES 12/10/2019
STAFF SHEET 11/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/17/2019
DAILY SCHEDULE 12/17/2019
JOB RESPONSIBILITIES 12/17/2019
SAFE SLEEP POLICY 12/17/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 12/18/2019
SAMPLE FORMS 12/17/2019
SANITATION INSPECTION 10/28/2021
LOCAL BUILDING APPROVAL 12/20/2019




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 17
Total Children 85
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Stephanie Schrempf present with 4 children, all 1yr old
1 4 INFANTS AND TODDLERS Jessica Pullen present with 4 children, all 1yr old
2 5 INFANTS AND TODDLERS Amanda Russo and Ann Benson present with 5 children, ages 7-9m old
3 0 NO CHILDREN IN ATTENDANCE Kelly Nordman, Madison Leibrecht. and Cynthia Ross present with no children in attendance
1 7 PRESCHOOL Samineh Mashhadi present with 7 children, all 3yrs old
1 9 PRESCHOOL Val Aniceto present with 9 children, all 3yrs old
2 11 PRESCHOOL Megan Davidson and John Kodelja present with 11 children, ages 4-5yrs old
1 10 PRESCHOOL Mary Williams present with 10 children, all 4yrs old
1 8 PRESCHOOL Naheed Akhter present with 8 children, all 4yrs old
1 10 PRESCHOOL Chandrakala Thotapall present with 10 children, all 4yrs old
2 9 TWO YEAR OLDS Karrie Left Hand and Zainab Alkordi present with 9 children, all 2yrs old
1 8 TWO YEAR OLDS Deekshitha Thotapalli present with 8 children, all 2yrs old

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Kim Noe within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 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

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in the kindergarten classroom was/were not in good condition as evidenced by the baseboard near the restroom is detached from the wall.
Licensing Rule Reference
5 CSR 25-500.082 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 the Pre K 3 was/were not in good condition as evidenced by there was peeling/chipping paint under the number line/ABC board.
Licensing Rule Reference
5 CSR 25-500.082 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

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
Clock hour training records were not recorded in the Missouri Professional Development Registry (MOPD Registry).
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (F) 2. states: All clock hour training records shall be recorded in the Missouri Professional Development Registry (MOPD Registry) at www.OPENInitiative.org. A summary of training from the MOPD System will serve as documentation of training hours completed.
Correction Required
Required training hours shall be documented for each employee on the MOPD Registry.

Correction Verification
Submit Documentation

Compliance Date

Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Stephanie Schrempf.
Licensing Rule Reference
5 CSR 25-500.102 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
Corrected on Site

Compliance Date
1/6/2022
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 3 children need authorization for emergency medical care.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
1/6/2022
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
Compliance
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
Violation
 Provider Comments
Violation
2 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
1/6/2022
Violation
2 child(ren) records did not include child's full name, address, date of birth and date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
1/6/2022
Violation
3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 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
1/6/2022
Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
1/6/2022
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Deekshitha Thotapalli, Kim Noe, and Stephanie Schrempf.
Licensing Rule Reference
5 CSR 25-600.020 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

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