DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000753528

(573) 729-3188

1405 S WINES ST
SALEM
MO  65560

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY



 

SEGOVIA, MELODY DAWN

dsegovia@scmcaa.org

Incorporated

KAYLA TODARO

BIRTH - 5 YEARS

96

GROUP HOME AND CENTER

4 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/29/2020

9:30 AM

10:02 AM

ANNOUNCED

SUPPLEMENTAL

2385198918


DocumentDocument-Date
SAFE SLEEP POLICY 01/16/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 01/16/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/16/2019
ARTICLES OF INCORPORATION 11/09/2012
SAMPLE WEEKLY MENU 12/08/1995
DAILY SCHEDULE 12/08/1995
DISCIPLINE POLICIES 12/08/1995
CHILD CARE PRACTICES 12/08/1995
POLICIES 12/08/1995
DIAGRAM/OUTDOOR 03/24/2003
DIAGRAM/INDOOR 03/24/2003
LOCAL ZONING APPROVAL 11/09/2012
LOCAL BUILDING APPROVAL 11/09/2012
LINES OF ADMINISTRATIVE AUTHORITY 12/08/1995
JOB RESPONSIBILITIES 12/08/1995
DIRECTOR'S QUALIFICATIONS 08/19/2011
CERTIFICATE OF GOOD STANDING 01/16/2019
APPLICATION 01/16/2019
EQUIPMENT LIST 01/16/2019
STAFF SHEET 01/16/2019
FIRE/SAFETY INSPECTION 11/21/2018
SANITATION INSPECTION 12/11/2018




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 10
Total Children 10
StaffChildClass AgeNote
2 4 INFANTS AND TODDLERS Staff Present: Kim Schwartz and Tessa Morrison. 4 toddlers present
3 4 INFANTS AND TODDLERS Staff Present: Sonia Wisdom and Emily Rohrer and Laura Connell. Children Present: 4 toddlers
3 0 NO CHILDREN IN ATTENDANCE Director Present: Dawn Segovia Cook Present: Sharon Pace Family Advocate: Sheonna Norfolk
2 2 TWO YEAR OLDS Staff Present: Jeri Turner and Elizabeth Norfolk

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
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 inspection 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

Violation
The facility has not met the requirements for state or local sanitation as evidenced by the inspection 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
Violation
 Provider Comments
Violation
Outdoor equipment, one plastic composter, in the fenced playground was unsafe as evidenced by the top of the composter is broken.....posing a pinching hazard.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
4/29/2020
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
Violation
 Provider Comments
Violation
There was no parental written objection to immunizations on file for 1 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (B) 2. B. states: A parent or guardian exemption, by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department (see 19 CSR 40-61.185).
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/29/2020
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