DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CERNER KIDS REALIZATION LEARNING CENTER

002055083

(816) 446-1900

10450 HICKMAN MILLS DR
KANSAS CITY
MO  64137

CERNER CORPORATION (DELAWARE)

2800 ROCKCREEK PKY
KANSAS CITY
MO  64117

SLADE, SANDRA L

CERNERKIDSREALIZATION@CERNER.COM

Incorporated

BIONICA D SMITHJACKSON

6 WEEKS - 10 YEARS

284

GROUP HOME AND CENTER

48 CHILDREN UNDER 12 MONTHS; 96 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/26/2022

9:45 AM

2:18 PM

UNANNOUNCED

COMPLIANCE MONITORING

2433938191


DocumentDocument-Date
SAMPLE WEEKLY MENU 11/29/2012
REGISTERING FICTITIOUS NAMES 08/10/2009
LOCAL ZONING APPROVAL 09/21/2007
LOCAL BUILDING APPROVAL 09/21/2007
LINES OF ADMINISTRATIVE AUTHORITY 09/01/1995
JOB RESPONSIBILITIES 09/06/1995
DIRECTOR'S QUALIFICATIONS 08/31/2011
DIAGRAM/OUTDOOR 09/21/2007
DIAGRAM/INDOOR 09/21/2007
DAILY SCHEDULE 05/28/2004
CHILD CARE PRACTICES 05/28/2004
ARTICLES OF INCORPORATION 09/01/1995
DISCIPLINE POLICIES 09/21/2007
POLICIES 09/21/2007
SAMPLE FORMS 09/21/2007
STAFF SHEET 08/02/2019
APPLICATION 08/20/2019
ANNUAL DECLARATION 10/25/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/25/2022
CERTIFICATE OF GOOD STANDING 10/25/2022
EQUIPMENT LIST 10/25/2022
SANITATION INSPECTION 07/29/2022
FIRE/SAFETY INSPECTION 08/16/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 8
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 26
Total Children 100
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS caregiver KA with three children, all under 12 months
1 3 INFANTS AND TODDLERS caregiver BH with three children, all under 12 months
1 4 INFANTS AND TODDLERS caregiver ME with four children, all under 18 months
3 8 INFANTS AND TODDLERS caregivers NO, JH, and JJ with eight children, all under 24 months
2 7 INFANTS AND TODDLERS caregivers JP and AM with seven children, all under 24 months
1 3 INFANTS AND TODDLERS caregiver MRi with three children, all under 18 months
1 7 INFANTS AND TODDLERS caregivers DE and MRy with seven children, all under 18 months
3 15 MIXED caregivers CB, SuHa, ans RM with fifteen children, twelve 2-years old and three 3-years old
2 15 MIXED caregivers IJ and MP with fifteen children, thirteen 2-years old, and two 3-years old
6 0 NO CHILDREN IN ATTENDANCE director SS, staff TS, LB, NB and contract workers StCh and AR with no children
1 10 PRESCHOOL caregiver SC with ten children, all 3-to-5-years old
2 10 PRESCHOOL caregivers HY and CS with ten children, all 3-to-4-years old
2 15 PRESCHOOL caregivers TC and CL with fifteen children, all 3-to-5 years old

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for NB, AB within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlet covers were missing.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
10/26/2022
Violation
Hazardous items as follows were accessible to children: scissors and thumbtacks. The item(s) was/were located unlocked drawer.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
10/26/2022
Violation
The walls located in Geckos room was/were not in good condition as evidenced by missing piece of wall near window.
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 concrete floors located in orangutans was/were not covered with approved materials as evidenced by broken tiles.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 7. states: Concrete floors in areas counted as child care space shall be covered with carpet, tile, linoleum or other floor covering.
Correction Required
Floors shall be made of approved materials.

Correction Verification
Corrected on Site

Compliance Date
10/26/2022
Violation
The ceilings located several rooms 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 floors located unused rooms was/were not clean as evidenced by dust/dirt build up in corners/near windows.
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
10/26/2022
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, cabinet, in Koalas room was not in good condition as evidenced by broken handle.
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

Violation
Outdoor equipment, sheds, in all three playgrounds was not in good condition as evidenced by chipping paint, loose board, and splintering wood.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

Violation
Furniture/equipment, shelves, in orangutans room was not in good condition as evidenced by stains.
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
Corrected on Site

Compliance Date
10/26/2022
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: NO-missing .75 clock hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
Safe sleep training was not completed within the past 3 years for the following staff PC, AM, DW.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
NB 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
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
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
Not Observed
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