DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARKS AREA COMMUNITY ACTION CORPORATION

001139673

(417) 777-8932

1500 E BROADWAY ST
BOLIVAR
MO  65613-1246

OZARKS AREA COMMUNITY ACTION CORPORATION

215 S BARNES AVE
SPRINGFIELD
MO  65802-2204

WELLS, ELLEN NICHOLE

kshinnbrown@oac.ac

Incorporated

GINA HOHENSEE

BIRTH - 6 YEARS

28

GROUP HOME AND CENTER

 
Inspection Information

02/25/2020

9:05 AM

10:13 AM

UNANNOUNCED

COMPLIANCE MONITORING

2376691589


DocumentDocument-Date
APPLICATION 05/21/2018
CERTIFICATE OF GOOD STANDING 08/23/2018
DIAGRAM/INDOOR 01/18/2018
DIAGRAM/OUTDOOR 08/03/2018
SAMPLE WEEKLY MENU 08/03/2018
EQUIPMENT LIST 08/03/2018
STAFF SHEET 08/03/2018
LOCAL ZONING APPROVAL 08/23/2018
LOCAL BUILDING APPROVAL 08/23/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/23/2018
SANITATION INSPECTION 05/23/2019
FIRE/SAFETY INSPECTION 05/24/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 08/23/2018
DAILY SCHEDULE 08/23/2018
ARTICLES OF INCORPORATION 08/23/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 9
Total Children 16
StaffChildClass AgeNote
7 3 INFANTS AND TODDLERS 12 months to 36 months with caregivers Wynne Koziol,, Mariam Bess, and Linda Heryford
2 13 PRESCHOOL 3 to 5 years old with caregivers Monica Jensen and Ellen Wells

 
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 bathroom was not clean and odor free as evidenced by the toilet was soiled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
2/25/2020
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 facility orientation did not included a tour of the facility as evidenced by tour of current facility was not documented on orientation/compliance statement.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) 1. states: A tour of the facility, indoors and outdoors; and
Correction Required
Each caregiver shall have a facility orientation that shall include a tour of the facility, both indoors and outdoors.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility orientation did not included a review of the information and needs of the children enrolled as evidenced by this information was not documented.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the information and needs of the children enrolled.

Correction Verification
Submit Documentation

Compliance Date

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
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 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance