DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE SPROUT'S CLUBHOUSE LLC

002397642

(573) 455-2020

332 COUNTY ROAD 501
JEFFERSON CITY
MO  65101

LITTLE SPROUT'S CLUBHOUSE LLC



 

MASSMAN, JENNA

jenna.massman@gmail.com


LACEY BERENDZEN

6 WEEKS - 12 YEARS

78

GROUP HOME AND CENTER

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

03/17/2023

9:10 AM

11:57 AM

UNANNOUNCED

COMPLIANCE MONITORING

2443329135


DocumentDocument-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 TimeOverlap End TimeOverlap 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.
Attendance at Time of Inspection
Total Staff 11
Total Children 44
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Ryleigh Wegman and Olivia Boessem with 8 children. All children age 1 year old.
2 5 INFANTS AND TODDLERS Rachel Meyer and Elizabeth Struemph with 5 children, all children 1 years old.
2 6 INFANTS AND TODDLERS Ashley Gibson and Kaitlyn Wilbers with 6 children. Five children under 12 months, and one child 1 year old.
1 10 MIXED Regina Stegman with 10 children. Children age 3 - 9 years old.
2 0 NO CHILDREN IN ATTENDANCE Jenna Massman (director) providing tour. Art Holterman (cook) preparing meal in kitchen
1 8 PRESCHOOL Andrea Halter with 8 children. Five children age 2 years old and three children age 3 years old.
1 7 TWO YEAR OLDS Kynide McCubbins with 7 children, all children 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 located in two infant/toddler rooms was/were not finished with material which can be cleaned easily as evidenced by classrooms had foam puzzle pieces laying on top of floor, foam pieces were peeling and could no longer be cleaned. Facility flipped foam pieces over to a cleanable side.
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
3/17/2023
Violation
Hazardous items as follows were accessible to children: floor cleaner. The item(s) was/were located unlocked hallway closet.
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
3/17/2023
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Corrected on Site

Compliance Date
3/17/2023
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, plastic bike seat, in preschool playground was not free of pointed parts as evidenced by seat was broken..
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
Corrected on Site

Compliance Date
3/17/2023
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by medical exam statement "on DATE I examined this patient. I certify that to the best of my knowledge this patient is in good physical and emotional health and free of contagious disease". The YES or NO box was not marked by physician.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
3/17/2023
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
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