DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

TINY HEARTS CREATIVE ENRICHMENT CENTER LLC

003018504

(573) 803-0488

316 S PLAZA WAY
CAPE GIRARDEAU
MO  63703-5854

TINY HEARTS CREATIVE ENRICHMENT CENTER LLC

2986 COUNTY ROAD 651
CAPE GIRARDEAU
MO  63701-8772

JESSUP-HEFFNER, NANCY

tinyheartscenter@yahoo.com


JESSICA SPENCER

BIRTH - 12 YEARS

62

GROUP HOME AND CENTER

15 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

07/23/2025

1:40 PM

2:50 PM

ANNOUNCED

SUPPLEMENTAL

2497383375


DocumentDocument-Date
APPLICATION 09/19/2023
DIAGRAM/INDOOR 09/14/2023
LLC OPERATING AGREEMENT 10/11/2023
LOCAL ZONING APPROVAL 07/25/2023
DIRECTOR'S QUALIFICATIONS 10/11/2023
LLC ARTICLES OF ORGANIZATION 10/10/2023
JOB RESPONSIBILITIES 10/11/2023
POLICIES 10/10/2023
SAMPLE WEEKLY MENU 10/10/2023
DISCIPLINE POLICIES 10/10/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/10/2023
CHILD CARE PRACTICES 10/10/2023
DIAGRAM/OUTDOOR 10/11/2023
LINES OF ADMINISTRATIVE AUTHORITY 10/11/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/01/2024
EQUIPMENT LIST 10/01/2024
ANNUAL DECLARATION 10/01/2024
FIRE/SAFETY INSPECTION 07/23/2024
SANITATION INSPECTION 07/24/2024

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:15PM   5:15PM   1/16/2024



Inspection determined facility to be in compliance with licensing rules.
Compliance 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 10
Total Children 46
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS At arrival: Caregivers: Lili McDonald and Madison Huitt with eight children six months to nineteen months. During the inspection Lili left and Kimberly Miller took her place.
1 8 MIXED Caregiver, Tia Beasley with three children four years of age, one child five years of age, two children six years of age, one child seven years of age and one child eight years of age.
3 0 NO CHILDREN IN ATTENDANCE Nancy Jessup- Hefner- Director Jazmine Coontz- Caregiver Joy Brown- LLC Manager
1 8 PRESCHOOL Caregiver, Katelyn Black with eight children all three years of age.
1 9 PRESCHOOL Caregiver, Kylie Smith with nine children three years of age to four years of age.
1 6 TWO YEAR OLDS Caregiver, Jessica Narr with six children all two years of age.
1 7 TWO YEAR OLDS Caregiver, Raven Patterson with seven children all two years of age.

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
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by the glass located on two glass doors (I/T Unit and Sesame Street Room) was shattered and missing. Facility has plywood covering the openings on the doors. A few pieces of glass and one nail tip are accessible to children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
7/23/2025
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, large wooden climber, in the outdoor play area was unsafe as evidenced by there were openings that posed a threat for entrapment. Openings measured 3.5 inches to 9 inches. This was located under the stairs and landing.
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
7/23/2025
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A Junior Aide, Lili McDonald, was counted toward infant/toddler staff/child ratios.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (C) 1. C. states: Shall not count towards infant/toddler staffing ratios.
Correction Required
Junior Aides shall not be counted toward infant/toddler staff/child ratios.

Correction Verification
Corrected on Site

Compliance Date
7/23/2025
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed