DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

000675774

(660) 248-2227

103B FURR ST
FAYETTE
MO  65248

CENTRAL MISSOURI COMMUNITY ACTION



 

MEYER, KRISTINA

kristina-brand@SHOWMEACTION.ORG


SUSAN MARIE DOUGLAS

6 WEEKS - 36 MONTHS

16

GROUP HOME AND CENTER

10 CHILDREN UNDER 12 MONTHS
 
Inspection Information

10/04/2019

11:30 AM

1:06 PM

UNANNOUNCED

COMPLIANCE MONITORING

2365983463


DocumentDocument-Date
APPLICATION 03/09/2018
EQUIPMENT LIST 03/09/2018
DIAGRAM/OUTDOOR 09/21/2010
CERTIFICATE OF GOOD STANDING 04/10/2018
DIRECTOR'S QUALIFICATIONS 10/28/2014
POLICIES 04/23/2008
DISCIPLINE POLICIES 04/23/2008
CHILD CARE PRACTICES 04/23/2008
LINES OF ADMINISTRATIVE AUTHORITY 01/31/2008
SAMPLE WEEKLY MENU 12/13/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 06/01/2004
DAILY SCHEDULE 02/24/2010
ARTICLES OF INCORPORATION 09/30/1996
SAFE SLEEP POLICY 04/17/2018
LOCAL ZONING APPROVAL 09/08/2004
SANITATION INSPECTION 03/20/2019
STAFF SHEET 09/11/2018
FIRE/SAFETY INSPECTION 04/02/2019
DIAGRAM/INDOOR 09/18/2018
JOB RESPONSIBILITIES 09/18/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/18/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 6
Total Children 12
StaffChildClass AgeNote
3 6 INFANTS AND TODDLERS ages 4 months to 2 years
3 6 INFANTS AND TODDLERS ages 4 months to 2 years

 
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
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 Cara Bush.
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 2 children where missing documentation for emergency medical care .
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
1 child(ren) records did not include work schedule 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

Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
2 child(ren) records did not include work telephone number 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

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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance