DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARK ACTION, INC.

000640926

(417) 924-8421

604 W COMMERCIAL ST
MANSFIELD
MO  65704-9543

OZARK ACTION, INC.



 

DIETZ, SANDRA JEAN

htucker@oaiwp.org

Incorporated

ELAINE S COX

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/28/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2398290084


DocumentDocument-Date
APPLICATION 03/05/2019
STAFF SHEET 04/01/2021
SANITATION INSPECTION 01/07/2021
ANNUAL DECLARATION 01/14/2021
FIRE/SAFETY INSPECTION 04/26/2021
EQUIPMENT LIST 04/15/2021
LINES OF ADMINISTRATIVE AUTHORITY 03/26/2019
CERTIFICATE OF GOOD STANDING 09/01/2020
LOCAL BUILDING APPROVAL 08/12/1994
DISCIPLINE POLICIES 06/06/1995
DAILY SCHEDULE 06/06/1995
CHILD CARE PRACTICES 06/06/1995
JOB RESPONSIBILITIES 06/06/1995
POLICIES 06/06/1995
SAMPLE FORMS 06/06/1995
LOCAL ZONING APPROVAL 06/06/1995
OWNER/PROVIDER REFERENCES 06/06/1995
SAMPLE WEEKLY MENU 06/06/1995
DIAGRAM/INDOOR 04/10/1997
DIAGRAM/OUTDOOR 04/10/1997
DIRECTOR'S QUALIFICATIONS 09/13/2011
ARTICLES OF INCORPORATION 06/06/1995
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 03/14/2018




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 annual fire safety inspection was not conducted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
4/26/2021
Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date
4/15/2021
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
Violation
 Provider Comments
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: Joanie Bailey needs 2 hours reassigned from 2020 to 2019.
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
4/23/2021
Violation
The facility has not submitted the approval request for proposed director: Sandra Dietz.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 1. B. states: Once the center director or group child care home provider is certificated by the Department, the Center Director or Group Child Care Home Provider Approval Request form shall be submitted to the department and maintained on file at the facility. See Center Director or Group Child Care Home Provider Approval Request form, promulgated as of 2020 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 amendment or additions.
Correction Required
An approval request form shall be submitted to the department.

Correction Verification
Submit Documentation

Compliance Date
4/23/2021
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