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
000744127

Phone
(660) 563-3751

Physical Address
502 E LUCAS
KNOB NOSTER
MO 65336

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
CROSS, RACHELLE DAWN

E-mail Address
CrossR@mvcaa.net

Incorporated
Incorporated

Child Care Specialist
PAMELA SNYDER

Age Range
36 MONTHS - 5 YEARS

Capacity
40

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
07/30/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2360874376

Document	Document-Date
APPLICATION	02/01/2019
STAFF SHEET	04/02/2019
EQUIPMENT LIST	04/02/2019
JOB RESPONSIBILITIES	05/22/2007
DISCIPLINE POLICIES	04/01/2005
POLICIES	04/01/2005
LOCAL ZONING APPROVAL	01/03/1991
LOCAL BUILDING APPROVAL	01/03/1991
LINES OF ADMINISTRATIVE AUTHORITY	10/04/1995
SAMPLE WEEKLY MENU	10/04/1995
DAILY SCHEDULE	10/04/1995
CERTIFICATE OF GOOD STANDING	12/07/2017
ARTICLES OF INCORPORATION	12/07/1994
DIAGRAM/OUTDOOR	12/07/1995
DIAGRAM/INDOOR	04/24/2001
CHILD CARE PRACTICES	04/01/2005
SANITATION INSPECTION	04/09/2019
FIRE/SAFETY INSPECTION	05/21/2019

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.