MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

Back

Facility Information

Facility Name
MVCAA CARROLLTON HEAD START CENTER

Facility DVN
000750601

Phone
(660) 542-2560

Physical Address
108 WALNUT HILLS DR
CARROLLTON
MO 64633-7192

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
WATERS, LACIE JOLYNN

E-mail Address
WATERSL@MVCAA.NET

Incorporated
Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
24 MONTHS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
02/18/2021

Arrival Time
11:30 AM

Departure Time
12:12 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2393422108

Document	Document-Date
ANNUAL DECLARATION	12/08/2020
SANITATION INSPECTION	10/07/2020
FIRE/SAFETY INSPECTION	10/13/2020
APPLICATION	11/08/2019
CERTIFICATE OF GOOD STANDING	12/04/2019
EQUIPMENT LIST	12/08/2020
SAMPLE WEEKLY MENU	03/19/2004
POLICIES	03/19/2004
LOCAL ZONING APPROVAL	04/08/2004
LOCAL BUILDING APPROVAL	04/08/2004
JOB RESPONSIBILITIES	03/19/2004
DISCIPLINE POLICIES	03/19/2004
DIAGRAM/OUTDOOR	04/12/2004
DIAGRAM/INDOOR	03/19/2004
CHILD CARE PRACTICES	04/12/2004
ARTICLES OF INCORPORATION	06/24/2008
DAILY SCHEDULE	04/07/2012
DIRECTOR'S QUALIFICATIONS	12/18/2017
STAFF SHEET	12/05/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

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 8

Staff	Child	Class Age	Note
5	8	PRESCHOOL	Laci Water, staff Susan Steward, staff Carlie Clevenger, staff Alissa Robins, staff Holly Shields, staff Ramona Smith, staff 3 Three year old children 3- Four year old children 2 Five year old children


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 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 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