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

THERESA ZEHNLE

6 WEEKS - 12 YEARS

523

GROUP HOME AND CENTER

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

07/22/2022

8:30 AM

11:02 AM

UNANNOUNCED

COMPLIANCE MONITORING

2427553232


DocumentDocument-Date
APPLICATION 12/17/2019
DIRECTOR'S QUALIFICATIONS 12/13/2019
DISCIPLINE POLICIES 12/17/2019
SAMPLE WEEKLY MENU 12/17/2019
POLICIES 12/17/2019
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
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
LOCAL BUILDING APPROVAL 12/20/2019
STAFF SHEET 11/30/2019
FIRE/SAFETY INSPECTION 10/25/2021
SANITATION INSPECTION 10/28/2021
EQUIPMENT LIST 12/02/2021
ANNUAL DECLARATION 12/02/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/02/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 121
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Patricia "Trish" Tully, teacher, and Erica De Olivera, teacher, were present with eight children ages 14 months to 23 months.
2 8 INFANTS AND TODDLERS Ann Benson and Cynthia Ross, teachers, were present with eight children ages 7-months-old to 1-years-old
2 0 NO CHILDREN IN ATTENDANCE Kelly Nordman, Director, and Billy Sandbach, bus driver/care giver, and Madison Leibrecht, accounts manager were present with zero children
2 22 PRESCHOOL Megan Davidson, teacher, and John Kodelja, teacher, was present with twenty two children ages 4-years-old to 5-years-old
1 9 PRESCHOOL Emily Anderson, teacher was present with nine children ages 3-years-old to 4-years -old
1 10 PRESCHOOL Jeffrey Polk, teacher, was present with ten children ages 3-years-old to 4-years old
1 10 PRESCHOOL Kia Hooten, teacher, was present with ten children 4-years-old to 5-years-old
1 9 PRESCHOOL Chandra Thotapalli, teacher, was present with nine children 4-years-old
1 8 SCHOOL AGE Quinn Thomas, teacher, was present with eight children ages 7-years-old to 8-years-old
1 12 SCHOOL AGE Gregory Hudson, teacher, was present with twelve children ages 8-years-old to 10-years-old
1 7 SCHOOL AGE Ryan O'Connell, teacher, was present with seven children ages 6-years-old
1 7 SCHOOL AGE Tyler Ngeuyen, teacher, was present with seven children ages 6-years-old to 7-years-old
2 8 TWO YEAR OLDS Savannah Austin and Mary Leibreicht, teachers were present with eight children ages 2-years-old
1 3 TWO YEAR OLDS Lynn Mitchell, teacher was present with three children ages 2-years-old

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
The name, address and telephone number of the board chairperson was not prominently posted near the license.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (13) (C) states: Board president or chairperson;
Correction Required
The name, address, and board president or chairperson shall be posted near the license.

Correction Verification
Corrected on Site

Compliance Date
7/22/2022
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
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by twenty two children, ages 4-years-old to 5-years-old, were cared for by two caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children;
Correction Required
Correct staff/child ratios shall be maintained.

Correction Verification
Corrected on Site

Compliance Date
7/22/2022
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 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Not Observed
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 two children's immunization record(s) was/were not on file.
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

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
Four child(ren) records did not include 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
7/22/2022
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