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


BRITTANY HECHT

BIRTH - 12 YEARS

62

GROUP HOME AND CENTER

15 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

03/12/2026

12:05 PM

1:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2509722724


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 10/09/2025
EQUIPMENT LIST 10/09/2025
ANNUAL DECLARATION 10/09/2025
FIRE/SAFETY INSPECTION 09/18/2025
SANITATION INSPECTION 08/08/2025

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: 3
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 41
StaffChildClass AgeNote
1 5 INFANTS AND TODDLERS Lila Smith, Caregiver 4 - 2 Year Olds 1 - 5 Year Old
1 2 INFANTS AND TODDLERS Katie Masters, Caregiver 2 - 15-18 Month Olds
1 7 MIXED Isabella Munroe, Caregiver 7 - 2 Year Olds
1 8 MIXED Alyssa Lord, Caregiver 2 - 2 Year Olds 6 - 3 Year Olds
1 9 MIXED Hannah Wiessinger, Caregiver 1 - 2 Year Old 8 - 3 Year Olds
1 0 NO CHILDREN IN ATTENDANCE Alicia Freed, Cook
1 0 NO CHILDREN IN ATTENDANCE Heather Maglone, Caregiver (Designated Person in Charge at the time of arrival.)
2 0 NO CHILDREN IN ATTENDANCE Joy Brown, Caregiver/LLC Manager Nancy Jessup-Hefner, Director
1 10 PRESCHOOL Molly Freed, Caregiver 10 - 3-5 Year Olds

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
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by the bathroom door located in the I/T Unit was not in good condition as evidenced by the very top of the door was cracked/splintering.
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
3/12/2026
Violation
Hazardous items as follows were accessible to children: Rubbing Alcohol & Shave Cream. The item(s) was/were located on the bottom & second to the bottom shelf of the cabinet in the Crayola Room.
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
3/12/2026
Violation
The walls located in the Dr. Seuss Room was/were not finished with material which can be cleaned easily as evidenced by the sheetrock was exposed and crumbling.
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
3/12/2026
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the playground gate was not latching properly.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the top rail was either disconnected or broken in half. This was located near the large climber.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date
3/12/2026
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inches. The gap was located at the bottom of the gate. This gate was located near the large climber.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date
3/12/2026
Violation
The facility's outdoor space was not safe for children's activities as evidenced by landscaping tarp was showing through the resilient material.
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
Submit Documentation

Compliance Date
3/12/2026
Violation
The facility's outdoor space was not safe for children's activities as evidenced by broken glass was located on the path that leads 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
Submit Documentation

Compliance Date
3/12/2026
Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date
3/12/2026
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the fence was not attached to the top rail, specifically along the last side panel in the back right corner on the Playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Corrected on Site

Compliance Date
3/12/2026
Violation
The premises were not safe and suitable as evidenced by the Emergency Exit door in the I/T Unit, specifically the Butterfly Room was not closing easily.
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
Return Inspection

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by various pieces of trash, specifically plastic bags & wrappers were scattered throughout the Playground along the fence.
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
3/12/2026
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
The means of egress in the I/T Unit, specifically the Butterfly Room was obstructed in that a curtain was hanging in the doorway of the Emergency Exit. Once the door is opened the curtain was still hanging in the doorway.
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
3/12/2026
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
3/12/2026
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, half-dome climber, in the outdoor playground was unsafe as evidenced by the climber was not anchored.
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
3/12/2026
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
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Tia Beasley.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
3/12/2026
Violation
Medical examination report form did not contain all required information as evidenced by the facility used the correct form; however, the medical provider failed to select whether or not the staff member was in good physical and emotional health and free of contagious disease.
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
Submit Documentation

Compliance Date
3/12/2026
5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
A child 5 years of age was in the I/T room with 41 children in attendance.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (5) (B) states: The infant/toddler unit shall not care for children older than two (2) years unless the total number of children in attendance at the time is four (4) or fewer.
Correction Required
A child older than 2 years shall not be in the I/T unless the total number of children in attendance is four or fewer.

Correction Verification
Corrected on Site

Compliance Date
3/12/2026
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Return Inspection

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for handwashing were not met as evidenced by children did not wash their hands prior to eating lunch.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (6) (A) states: Caregivers shall wash their hands with soap and running water after toileting or assisting a child with toileting, after diapering a child, before food preparation or serving of food and at other times as needed.
Correction Required
Staff/children shall wash hands as required.

Correction Verification
Submit Documentation

Compliance Date
3/12/2026
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