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

000687529

(573) 323-8905

1810 WINSTON DR
VAN BUREN
MO  63965

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 453
VAN BUREN
MO  63965

CHILTON, JANA YVONNE

vbehs@scmcaa.org

Incorporated

JESSICA SPENCER

BIRTH - 3 YEARS

16

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS
 
Inspection Information

12/01/2020

10:30 AM

12:23 PM

UNANNOUNCED

COMPLIANCE MONITORING

2388820702


DocumentDocument-Date
DIAGRAM/INDOOR 06/12/2017
DIAGRAM/OUTDOOR 06/12/2017
DAILY SCHEDULE 07/12/2017
CHILD CARE PRACTICES 07/12/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 06/28/2017
POLICIES 07/12/2017
LOCAL ZONING APPROVAL 06/28/2017
LOCAL BUILDING APPROVAL 06/22/2017
DISCIPLINE POLICIES 07/12/2017
JOB RESPONSIBILITIES 07/12/2017
LINES OF ADMINISTRATIVE AUTHORITY 07/12/2017
SAMPLE WEEKLY MENU 07/12/2017
DIRECTOR'S QUALIFICATIONS 02/11/2016
ARTICLES OF INCORPORATION 01/19/2011
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/11/2020
SAFE SLEEP POLICY 07/12/2017
APPLICATION 04/03/2018
EQUIPMENT LIST 04/03/2018
STAFF SHEET 04/03/2018
CERTIFICATE OF GOOD STANDING 04/03/2018
FIRE/SAFETY INSPECTION 01/30/2020
SANITATION INSPECTION 04/02/2019




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 7
Total Children 8
StaffChildClass AgeNote
3 4 INFANTS AND TODDLERS Caregivers: Kayla O'Connor, Drayton Keeny and Macy Cyr with two infants and two toddlers.
2 4 MIXED Caregivers: Jana Chilton and Cheyanne Wallace with three children two years of age and one child three years of age.
2 0 NO CHILDREN IN ATTENDANCE Angie Neade, Cook Joey Winger, Site Supervisor

 
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
The door, located at the main entrance, used as an exit from the facility was locked.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
12/1/2020
Violation
The door, located in the I/T area that leads to the outdoor play area, used as an exit from the facility was locked.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
12/1/2020
Violation
The door, located in the expansion room that leads to the outdoor play area, used as an exit from the facility was locked.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
12/1/2020
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.020 General Requirements
Compliance
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. —
Compliance