MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI OZARKS COMMUNITY ACTION, INC.

Facility DVN
000702896

Phone
(573) 793-6713

Physical Address
101 W NORMAL ST
IBERIA
MO 65486

Owner
MISSOURI OZARKS COMMUNITY ACTION INC.

Mailing Address

Provider/Director
WILSON, DORIS DAWN

E-mail Address
DWILSON@MOCACAA.ORG

Incorporated
Incorporated

Child Care Specialist
JAN CARTER

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
05/04/2015

Arrival Time
9:55 AM

Departure Time
10:46 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2253462626

Document	Document-Date
SAMPLE FORMS	01/26/1996
LOCAL ZONING APPROVAL	06/17/1995
LINES OF ADMINISTRATIVE AUTHORITY	01/26/1996
DIRECTOR'S QUALIFICATIONS	10/30/2008
DIAGRAM/INDOOR	12/12/1995
CHILD CARE PRACTICES	01/26/1996
ARTICLES OF INCORPORATION	01/26/1996
SAMPLE WEEKLY MENU	10/15/2007
POLICIES	01/26/1996
LOCAL BUILDING APPROVAL	06/17/1995
JOB RESPONSIBILITIES	01/26/1996
DIAGRAM/OUTDOOR	12/12/1995
DAILY SCHEDULE	11/17/1995
SANITATION INSPECTION	09/09/2014
FIRE/SAFETY INSPECTION	09/08/2014
STAFF SHEET	10/03/2013
EQUIPMENT LIST	10/03/2013
CERTIFICATE OF GOOD STANDING	10/03/2013
APPLICATION	10/03/2013

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 2

Total Children 14

Staff	Child	Class Age	Note
2	14	PRESCHOOL	Staff present were Doris Wilson and Mia Pendleton.