DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WORTH COUNTY HEAD START - COMMUNITY SERVICES, INC.

000603574

(660) 564-3616

508 E 6TH
GRANT CITY
MO  64456

COMMUNITY SERVICES INC OF NORTHWEST MISSOURI

PO BOX 328
MARYVILLE
MO  64468

PORTER, ABBEY NICOLE

lauffert.csi@gmail.com

Incorporated

PEGGY HASTINGS

36 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

05/10/2016

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2280199070


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 06/17/2014
STAFF SHEET 03/30/2015
FIRE/SAFETY INSPECTION 03/12/2015
CERTIFICATE OF GOOD STANDING 04/02/2015
EQUIPMENT LIST 04/02/2015
APPLICATION 02/27/2015
DIRECTOR'S QUALIFICATIONS 12/09/2014
DAILY SCHEDULE 12/13/2002
ARTICLES OF INCORPORATION 12/20/2002
DIAGRAM/OUTDOOR 08/30/2001
DIAGRAM/INDOOR 08/30/2001
LOCAL ZONING APPROVAL 03/22/2007
LOCAL BUILDING APPROVAL 03/22/2007




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.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a day care program.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (B) states: The examination report shall determine if a child's medical history and current state of health is satisfactory participation in a day care program.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/10/2016
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance