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

08/06/2025

11:00 AM

11:43 AM

UNANNOUNCED

REINSPECTION

2498158277


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 44
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Caregiver, Isabelle O'Neal with four children fifteen months to nineteen months.
1 4 INFANTS AND TODDLERS Caregiver, Katelyn Black with four children seven months to nineteen months.
1 9 MIXED Caregiver, Holly Repp with one child two years of age and eight children three years of age.
1 9 MIXED Caregiver, Jazmine Coontz with two children four years of age, two children five years of age, two children six years of age, two children seven years of age and one child eight years of age.
4 0 NO CHILDREN IN ATTENDANCE Joy Brown- LLC Manager Kimberly Miller- Cook Heather Maglone- Cook Nancy Jessup- Hefner- Director
1 10 PRESCHOOL Caregiver, Raven Patterson with ten children three years of age.
1 8 TWO YEAR OLDS Caregiver, Jessica Narr with eight children 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 facility's outdoor space was not safe for children's activities as evidenced by a shovel was located in the pathway to the playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
8/6/2025
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
The means of egress in the Sesame Room and Butterfly Room was obstructed in that sand bags were located on the exterior side of the exit doors.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (1) (M) states: Means of egress is a continuous and unobstructed way of travel from any point in a building or structure to a public way. A means of egress consists of three (3) distinct parts: the exit access, the exit, and the exit discharge;
Correction Required
Means of egress must be unobstructed.

Correction Verification
Corrected on Site

Compliance Date
8/6/2025
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Compliance
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