DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MVCAA ANTHONY BUCKNER APARTMENT COMPLEX HEAD START

000743280

(660) 826-9931

357 BUCKNER CT
SEDALIA
MO  65301-3401

MISSOURI VALLEY COMMUNITY ACTION AGENCY



 

IRVINE, ROSE WEST

irviner@mvcaa.net

Incorporated

SUSAN MARIE DOUGLAS

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

04/22/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2398100882


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/28/2020
ANNUAL DECLARATION 12/28/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/16/2019
DIAGRAM/OUTDOOR 10/20/1997
DIAGRAM/INDOOR 10/20/1997
ARTICLES OF INCORPORATION 09/22/1965
POLICIES 10/12/1995
DAILY SCHEDULE 10/20/1995
SAMPLE WEEKLY MENU 10/20/1995
CHILD CARE PRACTICES 10/20/1995
LINES OF ADMINISTRATIVE AUTHORITY 10/20/1995
SAMPLE FORMS 10/20/1995
LOCAL ZONING APPROVAL 10/13/1995
LOCAL BUILDING APPROVAL 10/13/1995
DISCIPLINE POLICIES 10/12/1995
FIRE/SAFETY INSPECTION 01/12/2021
DIRECTOR'S QUALIFICATIONS 10/29/2018
CERTIFICATE OF GOOD STANDING 03/27/2019
JOB RESPONSIBILITIES 04/09/2019
APPLICATION 03/27/2019
STAFF SHEET 03/27/2019
REGISTERING FICTITIOUS NAMES 05/08/2015
SANITATION INSPECTION 04/21/2021
EQUIPMENT LIST 12/28/2020




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.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Wanda Casey, Janel Locke, and Donna Wolfe within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
2/26/2021
Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
4/21/2021
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
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Donna Wolfe.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
2/24/2021
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