DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670635

(660) 457-3603

302 STATE HWY M
GLENWOOD
MO  63541

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

GOTTMAN, KRISTIE JUNE

kgottman@capnemo.org

Incorporated

BETHANY C DUCKWORTH

6 WEEKS - 5 YEARS

28

GROUP HOME AND CENTER

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

02/03/2021

9:25 AM

10:52 AM

UNANNOUNCED

COMPLIANCE MONITORING

2392797408


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/15/2020
ANNUAL DECLARATION 12/15/2020
SAFE SLEEP POLICY 09/14/2020
SAMPLE WEEKLY MENU 03/24/1997
JOB RESPONSIBILITIES 03/24/1997
DIAGRAM/OUTDOOR 09/02/2020
LINES OF ADMINISTRATIVE AUTHORITY 01/06/2010
ARTICLES OF INCORPORATION 03/24/1997
DISCIPLINE POLICIES 12/09/2013
POLICIES 12/09/2013
DIAGRAM/INDOOR 09/02/2020
CERTIFICATE OF GOOD STANDING 12/18/2013
CHILD CARE PRACTICES 01/06/2016
DAILY SCHEDULE 09/02/2020
DIRECTOR'S QUALIFICATIONS 10/24/2018
APPLICATION 09/16/2019
EQUIPMENT LIST 12/15/2020
STAFF SHEET 09/02/2020
FIRE/SAFETY INSPECTION 11/25/2020
SANITATION INSPECTION 11/30/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/14/2020




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 5
Total Children 21
StaffChildClass AgeNote
2 3 INFANTS AND TODDLERS Staff: Jessica Shively and Jessie Stewart Age range 18 months through 2 years. Two 2 year old children.
3 18 PRESCHOOL Staff: Kristie Gottman, Taylor Raymond and Crystal Bass. Age range 3 to 5 years.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
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
Violation
 Provider Comments
Violation
Background screening information received by the provider was not available for review as evidenced by William Lewis and Julie Collis.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (P) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be retained in the individual file, kept confidential, and made available for review when requested by the department.

Correction Verification
Submit Documentation

Compliance Date

Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Julie Collis needs 3.75 hours transferred back to 2020.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.

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 30-63.020 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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance