DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670644

(660) 665-6284

915 W LOCUST
KIRKSVILLE
MO  63501

NORTHEAST COMMUNITY ACTION AGENCY



 

LOTFI BABAROOD, MARYAM

ssullivan@capnemo.org

Incorporated

BETHANY C DUCKWORTH

36 MONTHS - 5 YEARS

50

GROUP HOME AND CENTER

 
Inspection Information

05/02/2019

9:10 AM

11:36 AM

ANNOUNCED

RENEWAL

2356004944


DocumentDocument-Date
SAMPLE WEEKLY MENU 03/09/1994
LOCAL ZONING APPROVAL 03/09/1994
LINES OF ADMINISTRATIVE AUTHORITY 05/12/2009
JOB RESPONSIBILITIES 03/09/1994
DIAGRAM/OUTDOOR 11/02/1994
DIAGRAM/INDOOR 08/29/2008
ARTICLES OF INCORPORATION 03/09/1994
DIRECTOR'S QUALIFICATIONS 06/15/2015
APPLICATION 02/22/2019
CHILD CARE PRACTICES 05/03/2017
DAILY SCHEDULE 05/03/2017
DISCIPLINE POLICIES 05/03/2017
EQUIPMENT LIST 02/22/2019
POLICIES 05/03/2017
STAFF SHEET 02/22/2019
SANITATION INSPECTION 03/25/2019
FIRE/SAFETY INSPECTION 05/10/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 5
Total Children 26
StaffChildClass AgeNote
3 14 PRESCHOOL Staff: Melissa Schaeffer, Jarod Sutton, Darian Rader
2 12 PRESCHOOL Staff: Shandee Girotti and Jill Pulis

 
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 provider did not meet requirements for a criminal background check. Results were missing for: Melissa Schaeffer, Darian Rader, Jillian Pulis, Shandee Girotti, Deborah Moore, Jarod Sutton, and Limaris Ramos. NMCAA has completed their portion of requirement. Waiting on screening letters from Background Screening Unit.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for a criminal background check. Results were missing for: James Robertson and Sheila Sullivan. The requirements were met by NMCAA for background check however have not received screening letters from Background Screening Unit.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for James Robertson, Rachael Pope, Melissa Schaeffer, Darian Rader, Jillian Pulis, Sheila Sullivan, Shandee Girotti, Deborah Moore, Jarod Sutton, and Limaris Ramos within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date

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 the fire inspection conducted 4-30-2019 was not approved..
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
Violation
 Provider Comments
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were no training documents on file. The staff listed need the following documentation: Rachael Pope needs 1 hour for 2018.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each year of employment in training which is approved by the department in - health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child related areas.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

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 Darian Rader and Deborah Moore.
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

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
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance