MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI OZARKS COMMUNITY ACTION, INC.

Facility DVN
000702485

Phone
(573) 885-2696

Physical Address
100 HOOD PARK
CUBA
MO 65453-6270

Owner
MISSOURI OZARKS COMMUNITY ACTION, INC.

Mailing Address

Provider/Director
FARMER, ASHLEY ANNE

E-mail Address
afarmer@mocacaa.org

Incorporated
Incorporated

Child Care Specialist
SHELBY N KOETTING

Age Range
36 MONTHS - 5 YEARS

Capacity
52

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/21/2021

Arrival Time
1:00 PM

Departure Time
2:38 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2398633927

Document	Document-Date
ANNUAL DECLARATION	02/16/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/16/2021
DIRECTOR'S QUALIFICATIONS	04/29/1996
DAILY SCHEDULE	08/12/2010
JOB RESPONSIBILITIES	12/11/1995
LINES OF ADMINISTRATIVE AUTHORITY	12/11/1995
SAMPLE FORMS	12/11/1995
POLICIES	12/11/1995
DISCIPLINE POLICIES	12/11/1995
SAMPLE WEEKLY MENU	12/11/1995
CHILD CARE PRACTICES	12/11/1995
DIAGRAM/OUTDOOR	05/05/2010
DIAGRAM/INDOOR	05/05/2010
LOCAL BUILDING APPROVAL	11/03/2009
LOCAL ZONING APPROVAL	03/19/2012
APPLICATION	03/10/2020
STAFF SHEET	01/29/2020
EQUIPMENT LIST	02/16/2021
CERTIFICATE OF GOOD STANDING	01/29/2020
FIRE/SAFETY INSPECTION	12/16/2020
SANITATION INSPECTION	12/22/2020

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 7

Total Children 15

Staff	Child	Class Age	Note
3	0	NO CHILDREN IN ATTENDANCE	Robin Eidson, Elizabeth Ryerson, and Victoria Britton in the office with 0 children.
2	6	PRESCHOOL	Brandi Bailey and Kathy Noltkamper with 6 preschool children.
2	9	PRESCHOOL	Jennifer Housewright and Felicia Filkins with 9 preschool children.