DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSOURI VALLEY COMMUNITY ACTION AGENCY

000749300

(660) 388-5911

618 S WEBER AVE
SALISBURY
MO  65281-1326

MISSOURI VALLEY COMMUNITY ACTION AGENCY



 

PEGELOW, JACQUELYIN MICHELE

turnerl@mvcaa.net

Incorporated

CHRISTINA BRUCE

6 WEEKS - 5 YEARS

38

GROUP HOME AND CENTER

5 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/24/2021

11:24 AM

12:06 PM

UNANNOUNCED

COMPLIANCE MONITORING

2394848619


DocumentDocument-Date
STAFF SHEET 07/30/2020
EQUIPMENT LIST 06/30/2020
APPLICATION 05/20/2020
FIRE/SAFETY INSPECTION 06/03/2020
ARTICLES OF INCORPORATION 07/13/2018
CERTIFICATE OF GOOD STANDING 07/20/2018
DAILY SCHEDULE 07/20/2018
CHILD CARE PRACTICES 07/20/2018
DIAGRAM/INDOOR 07/13/2018
DIAGRAM/OUTDOOR 07/20/2018
LINES OF ADMINISTRATIVE AUTHORITY 07/20/2018
DIRECTOR'S QUALIFICATIONS 07/20/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/20/2018
JOB RESPONSIBILITIES 07/20/2018
LOCAL BUILDING APPROVAL 07/20/2018
SAMPLE FORMS 07/20/2018
SAFE SLEEP POLICY 07/20/2018
SAMPLE WEEKLY MENU 07/20/2018
LOCAL ZONING APPROVAL 07/20/2018
DISCIPLINE POLICIES 07/20/2018
POLICIES 07/20/2018
LLC ARTICLES OF ORGANIZATION 07/20/2018
SANITATION INSPECTION 06/11/2020




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 4
Total Children 22
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS All children under the age of 12 months. Madison Bushery, staff
1 3 MIXED 1- Two year old child 2- 18 month old children Jennifer Haynes, staff
2 15 PRESCHOOL 5- Three year old children 5- Four year old children 5- Five year old children Jacqueline Pegelow, staff Colbie Sawyer, staff

 
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for infant and toddler equipment as evidenced by toys or parts of toys or other materials were small enough to be swallowed.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (C) 1. states: Infants and toddlers shall have safe toys which shall be washed when soiled. Toys, parts of toys or other materials shall not be small enough to be swallowed. Toys and materials shall include a minimum of one (1) approved item from each of the following categories for each infant and toddler in the licensed capacity of the facility:
Correction Required
The facility shall provide safe, clean toys.

Correction Verification
Corrected on Site

Compliance Date
2/24/2021
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