MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CREATIVE KIDS KAMPUS L.L.C.

Facility DVN
001571400

Phone
(636) 584-0533

Physical Address
598 INDEPENDENCE
UNION
MO 63084

Owner
CREATIVE KIDS KAMPUS L.L.C.

Mailing Address

Provider/Director
JOKERST, LISA MARIE

E-mail Address
LMJOKERST@HOTMAIL.COM

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
6 WEEKS - 12 YEARS

Capacity
42

Facility Type
GROUP HOME AND CENTER

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

Inspection Information

Date
03/07/2022

Arrival Time
11:00 AM

Departure Time
12:15 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2419405336

Document	Document-Date
ANNUAL DECLARATION	12/20/2021
EQUIPMENT LIST	12/20/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/01/2020
FIRE/SAFETY INSPECTION	12/09/2021
SANITATION INSPECTION	12/08/2021
STAFF SHEET	01/11/2019
APPLICATION	10/24/2018
LLC OPERATING AGREEMENT	03/01/2001
LLC ARTICLES OF ORGANIZATION	02/28/2001
LINES OF ADMINISTRATIVE AUTHORITY	03/02/2001
JOB RESPONSIBILITIES	06/27/2001
DIRECTOR'S QUALIFICATIONS	10/04/2002
SAMPLE WEEKLY MENU	07/01/2013
DAILY SCHEDULE	12/21/2006
DIAGRAM/OUTDOOR	08/18/2020
DIAGRAM/INDOOR	08/18/2020
LOCAL ZONING APPROVAL	03/19/2021
LOCAL BUILDING APPROVAL	03/19/2021
POLICIES	11/19/2014
DISCIPLINE POLICIES	11/19/2014
CHILD CARE PRACTICES	11/19/2014
LOCAL FIRE DEPARTMENT NOTIFICATION	07/15/2020
CERTIFICATE OF GOOD STANDING	01/21/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/20/2021
SAFE SLEEP POLICY	07/22/2020

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	1/17/2013

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.

Attendance at Time of Inspection

Total Staff 7

Total Children 33

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Taylor Beck and Serenity Schultenberg were the caregivers with the children. Children range in age from 7 months to 2 years. There are 6 children that are 2 years of age and 2 children that are under 2 years of age.
1	8	MIXED	Andrea King was the caregiver with the children. Children range in age from 4 to 5 years.
2	0	NO CHILDREN IN ATTENDANCE	Additional staff: Lisa Jokerst (director) and Kim Lueken (kitchen) were also present at the facility.
1	9	PRESCHOOL	Leslie Jenks was the caregiver with the children. Children were all 4 years of age.
1	8	PRESCHOOL	Sydney West was the caregiver with the children. Children were all 3 years of age.


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 Compliance
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 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 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