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

GARRETSON, LESLEY DAWN

COUNTRYSIDE@CREATIVEWORLDSCHOOL.COM


BIONICA D SMITHJACKSON

6 WEEKS - 10 YEARS

244

GROUP HOME AND CENTER

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

08/29/2022

2:00 PM

5:29 PM

UNANNOUNCED

COMPLIANCE MONITORING

2430117028


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 01/10/2022
SANITATION INSPECTION 01/10/2022
EQUIPMENT LIST 01/10/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/10/2022
FIRE/SAFETY INSPECTION 12/22/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 57
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS staff Brook Pendergrass and China Whitcomb with six children, all under 24 months
1 4 INFANTS AND TODDLERS staff Jasmine Hawkins with four children, all under 24 months
2 6 INFANTS AND TODDLERS staff Amy Barber and Amanda Sells with six children, all under 12 months
5 0 NO CHILDREN IN ATTENDANCE corporate staff Janice Dos Santos and Rhonda Hayes, director Lesley Garretson, staff Eli Dos Santos and Veronica Fails
2 4 PRESCHOOL staff Raven Lee and Gabby Slayton with four children, all 3-years-old
1 8 PRESCHOOL staff Jessica Gallagher with eight children, all 3-years-to-4-years-old
1 5 PRESCHOOL staff Amanda Filley with five children, all 4-years-old
1 4 PRESCHOOL staff Brittani Johnson with four children, all 4-years-to5-years-old
1 6 PRESCHOOL staff Stephanie Hollins with six children, all 3-years-to-4-years-old
1 5 TWO YEAR OLDS staff Raven Lee with five children, all 2-years-old
2 9 TWO YEAR OLDS staff Jordan Gill and Brittani Johnson with nine children, all 2-years-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
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The floors located Penguins rooms and dolphins room was/were not clean as evidenced by dirty area rug.
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
Corrected on Site

Compliance Date
8/29/2022
Violation
The ceilings located several classrooms was/were not clean as evidenced by dusty vents.
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 requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Corrected on Site

Compliance Date
8/29/2022
Violation
The walls located several classrooms was/were not in good condition as evidenced by chipping paint.
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
Violation
 Provider Comments
Violation
Furniture/equipment, shelves , in in several rooms was not in good condition as evidenced by sticky residue.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Stephanie Hollins did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Brittany Cox, Jasmine Hawkins, Stephanie Hollins, China Whitcomb as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST for the following staff: Brittany Cox, Judith Happy, Jasmine Hawkins Stephanie Hollins, China Whitcomb.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

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 on file as evidenced by 25 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date

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
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