MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
001939531

Phone
(573) 443-1955

Physical Address
1402 W WORLEY ST
COLUMBIA
MO 65203

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
EBERHARDT, KATELYNN

E-mail Address
katiee@cmca.us

Incorporated

Child Care Specialist
JIM PARSLEY

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
02/24/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2394072839

Document	Document-Date
LOCAL BUILDING APPROVAL	08/18/2011
LOCAL ZONING APPROVAL	08/18/2011
DIAGRAM/OUTDOOR	03/03/2017
DIAGRAM/INDOOR	03/03/2017
ARTICLES OF INCORPORATION	08/22/2011
DIRECTOR'S QUALIFICATIONS	09/12/2014
CERTIFICATE OF GOOD STANDING	05/26/2015
CHILD CARE PRACTICES	08/22/2011
DISCIPLINE POLICIES	08/22/2011
DAILY SCHEDULE	08/22/2011
JOB RESPONSIBILITIES	08/22/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/22/2011
POLICIES	08/22/2011
SAMPLE FORMS	08/22/2011
SAMPLE WEEKLY MENU	08/22/2011
APPLICATION	06/12/2019
EQUIPMENT LIST	06/23/2017
STAFF SHEET	06/23/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/26/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	08/22/2011
SAFE SLEEP POLICY	05/26/2015
FIRE/SAFETY INSPECTION	04/29/2019
SANITATION INSPECTION	06/17/2019

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.