DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARK ACTION, INC.

000640926

(417) 924-8421

604 W COMMERCIAL
MANSFIELD
MO  65704

OZARK ACTION, INC.

PO BOX 8
MANSFIELD
MO  65704-0008

BARLETT, JOANEE CLAUDENE

htucker@oaiwp.org

Incorporated

ELAINE S COX

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

09/24/2020

11:19 AM

11:54 AM

ANNOUNCED

SUPPLEMENTAL

2386000511


DocumentDocument-Date
APPLICATION 03/05/2019
STAFF SHEET 03/05/2019
EQUIPMENT LIST 03/05/2019
SANITATION INSPECTION 02/28/2020
FIRE/SAFETY INSPECTION 12/12/2019
LINES OF ADMINISTRATIVE AUTHORITY 03/26/2019
LOCAL BUILDING APPROVAL 08/12/1994
DISCIPLINE POLICIES 06/06/1995
DAILY SCHEDULE 06/06/1995
CHILD CARE PRACTICES 06/06/1995
JOB RESPONSIBILITIES 06/06/1995
POLICIES 06/06/1995
SAMPLE FORMS 06/06/1995
LOCAL ZONING APPROVAL 06/06/1995
OWNER/PROVIDER REFERENCES 06/06/1995
SAMPLE WEEKLY MENU 06/06/1995
DIAGRAM/INDOOR 04/10/1997
DIAGRAM/OUTDOOR 04/10/1997
DIRECTOR'S QUALIFICATIONS 09/13/2011
ARTICLES OF INCORPORATION 06/06/1995
CERTIFICATE OF GOOD STANDING 03/01/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 03/14/2018




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 6
Total Children 9
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE Joanee Barlett, Bailey Owens, Rebecca Madewell, Verna Watts
2 9 PRESCHOOL Pamela Aldrich and Sandra Dietz

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 Annual Requirements
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Not Observed
19 CSR 30-62.112 Staff/Child Ratios
Not Observed
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Pamela Aldrich and Baily Owens.
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

Violation
Medical examination report(s) was/were not on file for Pamela Aldrich as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address 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
Corrected on Site

Compliance Date
9/24/2020
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
Corrected on Site

Compliance Date
9/24/2020
19 CSR 30-63.020 General Requirements
Not Observed
19 CSR 30-63.040 Background Screening Findings
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed