DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARK ACTION, INC.

000693487

(417) 926-5170

507 W 5TH ST
MOUNTAIN GROVE
MO  65711

OZARK ACTION, INC.



 

SMITH, AMBER DAWN

mtgrove@oaiwp.org

Incorporated

ELAINE S COX

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

11/15/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2317168603


DocumentDocument-Date
DIAGRAM/INDOOR 09/18/1996
DIAGRAM/OUTDOOR 09/18/1996
LOCAL BUILDING APPROVAL 02/22/1996
LOCAL ZONING APPROVAL 02/22/1996
DAILY SCHEDULE 02/22/1996
DIRECTOR'S QUALIFICATIONS 09/07/2011
APPLICATION 03/22/2017
CERTIFICATE OF GOOD STANDING 02/02/2015
EQUIPMENT LIST 03/22/2017
STAFF SHEET 03/22/2017
FIRE/SAFETY INSPECTION 01/18/2017
CHILD CARE PRACTICES 09/18/1996
JOB RESPONSIBILITIES 09/18/1996
DISCIPLINE POLICIES 09/18/1996
POLICIES 09/18/1996
SAMPLE WEEKLY MENU 09/18/1996
SAMPLE FORMS 09/18/1996
SANITATION INSPECTION 02/16/2017




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
Violation
 Provider Comments
Violation
The facility’s name, address and telephone number was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility;
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
11/14/2017
Violation
The facility's disaster plan did not include the location of child's attendance record.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
11/14/2017
Violation
The facility's disaster plan did not include location of emergency information.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
11/14/2017
Violation
The facility's disaster plan did not include location of emergency supplies.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
11/14/2017
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
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Melinda Fielder, Melissa Fisk-Wolf, Monica Barker and Patricia Skaggs.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
11/2/2017
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 2 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/15/2017
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/14/2017
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance