DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MVCAA ANTHONY BUCKNER APARTMENT COMPLEX HEAD START CENTER

000743280

(660) 826-9931

357 BUCKNER ST
SEDALIA
MO  65301

MISSOURI VALLEY COMMUNITY ACTION AGENCY



 

DEAL, SANDRA

reddens@mvcaa.net

Incorporated

SUSAN MARIE DOUGLAS

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

04/11/2018

11:45 AM

12:49 PM

UNANNOUNCED

COMPLIANCE MONITORING

2324373399


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 09/26/1997
DIAGRAM/OUTDOOR 10/20/1997
DIAGRAM/INDOOR 10/20/1997
CERTIFICATE OF GOOD STANDING 03/10/2017
ARTICLES OF INCORPORATION 09/22/1965
POLICIES 10/12/1995
DAILY SCHEDULE 10/20/1995
SAMPLE WEEKLY MENU 10/20/1995
CHILD CARE PRACTICES 10/20/1995
LINES OF ADMINISTRATIVE AUTHORITY 10/20/1995
JOB RESPONSIBILITIES 10/20/1995
SAMPLE FORMS 10/20/1995
LOCAL ZONING APPROVAL 10/13/1995
LOCAL BUILDING APPROVAL 10/13/1995
DISCIPLINE POLICIES 10/12/1995
SANITATION INSPECTION 02/05/2018
APPLICATION 03/10/2017
EQUIPMENT LIST 03/10/2017
STAFF SHEET 03/10/2017
FIRE/SAFETY INSPECTION 02/17/2017




Inspection determined facility to be in compliance with 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 4
Total Children 16
StaffChildClass AgeNote
4 16 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
Violation
 Provider Comments
Violation
The facility has not met the requirements for fire and safety as evidenced by not conducted.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

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
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Allison.
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

Violation
Medical examination report form did not contain all required information as evidenced by missing statement that provider shall be in good physical and emotional health..
Licensing Rule Reference
19 CSR 30-62.122 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.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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