MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
LITTLE SPROUT'S CLUBHOUSE LLC

Facility DVN
002397642

Phone
(573) 455-2020

Physical Address
332 COUNTY ROAD 501
JEFFERSON CITY
MO 65101

Owner
LITTLE SPROUT'S CLUBHOUSE LLC

Mailing Address

Provider/Director
MASSMAN, JENNA

E-mail Address
jenna.massman@gmail.com

Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
6 WEEKS - 12 YEARS

Capacity
78

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/12/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2432699566

Document	Document-Date
SAMPLE WEEKLY MENU	05/07/2013
SAMPLE FORMS	07/29/2013
OWNER/PROVIDER REFERENCES	08/20/2013
LOCAL ZONING APPROVAL	09/05/2013
LOCAL BUILDING APPROVAL	09/05/2013
LLC OPERATING AGREEMENT	05/07/2013
LLC ARTICLES OF ORGANIZATION	05/07/2013
LINES OF ADMINISTRATIVE AUTHORITY	09/05/2013
JOB RESPONSIBILITIES	05/28/2013
DAILY SCHEDULE	05/07/2013
DIAGRAM/INDOOR	04/03/2013
DIAGRAM/OUTDOOR	09/05/2013
DIRECTOR'S QUALIFICATIONS	08/05/2013
POLICIES	05/09/2013
CHILD CARE PRACTICES	05/09/2013
DISCIPLINE POLICIES	05/09/2013
APPLICATION	05/13/2019
STAFF SHEET	05/16/2019
FIRE/SAFETY INSPECTION	09/07/2022
EQUIPMENT LIST	07/28/2022
SANITATION INSPECTION	06/02/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/28/2022
ANNUAL DECLARATION	07/28/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:40PM	4:55PM	7/6/2015
6:45AM	7:30AM	7/6/2015

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.

Compliance List
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
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 25-500.162 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