MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CDLC ELLISVILLE, INC.

Facility DVN
002801105

Phone
(636) 484-7001

Physical Address
15677 MANCHESTER RD
ELLISVILLE
MO 63011-2242

Owner
CDLC ELLISVILLE, INC.

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

Provider/Director
NORDMAN, KELLY MARIE

E-mail Address
tholmes@cremedelacreme.com

Incorporated
Incorporated

Child Care Specialist
KATHERINE D SIMS

Age Range
6 WEEKS - 12 YEARS

Capacity
523

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/06/2022

Arrival Time
10:15 AM

Departure Time
12:42 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2415595640

Document	Document-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

Staff	Child	Class Age	Note
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
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
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
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
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
5 CSR 25-600.020 General Requirements Violation
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