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 VALLEY COMMUNITY ACTION AGENCY

Facility DVN
000750601

Phone
(660) 542-2560

Physical Address
108 WALNUT HILL DR
CARROLLTON
MO 64633

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
CROMLEY, RUTH A

E-mail Address
whiteheadl@mycaa.net

Incorporated
Incorporated

Child Care Specialist
JILL EILEEN ZEIGENBEIN

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/20/2017

Arrival Time
12:50 PM

Departure Time
1:53 PM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2316106653

Document	Document-Date
SANITATION INSPECTION	10/26/2017
FIRE/SAFETY INSPECTION	10/02/2017
EQUIPMENT LIST	12/20/2017
CERTIFICATE OF GOOD STANDING	12/18/2017
APPLICATION	12/18/2017
DIRECTOR'S QUALIFICATIONS	12/18/2017
SAMPLE WEEKLY MENU	03/19/2004
POLICIES	03/19/2004
LOCAL ZONING APPROVAL	04/08/2004
LOCAL BUILDING APPROVAL	04/08/2004
JOB RESPONSIBILITIES	03/19/2004
DISCIPLINE POLICIES	03/19/2004
DIAGRAM/OUTDOOR	04/12/2004
DIAGRAM/INDOOR	03/19/2004
CHILD CARE PRACTICES	04/12/2004
ARTICLES OF INCORPORATION	06/24/2008
DAILY SCHEDULE	04/07/2012
STAFF SHEET	11/16/2015

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 12

Staff	Child	Class Age	Note
2	12	PRESCHOOL


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 Compliance
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