DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSOURI OZARKS COMMUNITY ACTION, INC.

002607325

(573) 842-8870

357 JOST ST
BOURBON
MO  65441-6182

MISSOURI OZARKS COMMUNITY ACTION INC.

100 HOOD PARK
CUBA
MO  65453-6270

LORENZ, TIFFINI LYNN

tlorenz@mocacaa.org

Incorporated

WARSHIETA HAMMOND

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

09/04/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2338731937


DocumentDocument-Date
EQUIPMENT LIST 05/31/2018
STAFF SHEET 05/31/2018
APPLICATION 07/20/2018
FIRE/SAFETY INSPECTION 08/28/2018
SANITATION INSPECTION 08/28/2018
DIAGRAM/INDOOR 07/26/2016
DAILY SCHEDULE 07/26/2016
SAMPLE WEEKLY MENU 07/26/2016
ARTICLES OF INCORPORATION 04/26/2007
DISCIPLINE POLICIES 07/26/2016
CHILD CARE PRACTICES 07/26/2016
JOB RESPONSIBILITIES 07/26/2016
LINES OF ADMINISTRATIVE AUTHORITY 07/26/2016
POLICIES 07/27/2016
REGISTERING FICTITIOUS NAMES 06/26/2008
DIAGRAM/OUTDOOR 10/03/2016
CERTIFICATE OF GOOD STANDING 06/26/2008
LLC ARTICLES OF ORGANIZATION 11/10/1986
DIRECTOR'S QUALIFICATIONS 10/28/2016




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
Violation
 Provider Comments
Violation
The sanitation inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (B) states: Evidence of compliance with local or state, or both, sanitation requirements;
Correction Required
The facility shall submit evidence of compliance with sanitation requirements for renewal.

Correction Verification
Submit Documentation

Compliance Date
8/31/2018
Violation
The fire inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee;
Correction Required
The facility shall submit evidence of compliance with fire and safety requirements for renewal.

Correction Verification
Submit Documentation

Compliance Date
8/31/2018
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