MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Facility DVN
000753528

Phone
(573) 729-3188

Physical Address
1405 S WINES ST
SALEM
MO 65560

Owner
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
SEGOVIA, MELODY DAWN

E-mail Address
dsegovia@scmcaa.org

Incorporated
Incorporated

Child Care Specialist
MELISSA JILL SMITH

Age Range
BIRTH - 5 YEARS

Capacity
96

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
06/11/2021

Arrival Time
10:30 AM

Departure Time
12:01 PM

Notice
ANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2402145581

Document	Document-Date
SAFE SLEEP POLICY	01/16/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	01/16/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/16/2019
ARTICLES OF INCORPORATION	11/09/2012
SAMPLE WEEKLY MENU	12/08/1995
DAILY SCHEDULE	12/08/1995
DISCIPLINE POLICIES	12/08/1995
CHILD CARE PRACTICES	12/08/1995
POLICIES	12/08/1995
DIAGRAM/OUTDOOR	03/24/2003
DIAGRAM/INDOOR	03/24/2003
LOCAL ZONING APPROVAL	11/09/2012
LOCAL BUILDING APPROVAL	11/09/2012
LINES OF ADMINISTRATIVE AUTHORITY	12/08/1995
JOB RESPONSIBILITIES	12/08/1995
DIRECTOR'S QUALIFICATIONS	08/19/2011
CERTIFICATE OF GOOD STANDING	01/16/2019
APPLICATION	01/16/2019
EQUIPMENT LIST	02/02/2021
STAFF SHEET	01/16/2019
FIRE/SAFETY INSPECTION	12/02/2020
SANITATION INSPECTION	01/25/2021
ANNUAL DECLARATION	02/02/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/02/2021

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 10

Total Children 19

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Jeri Turner and Emily Rohrer, caregivers: children 11 months to 2 years
3	6	MIXED	Sonya Wisdom, Laura Conney and Katie Rictor, caregivers with 6 children (1 two year old and 6 three year olds)
2	6	MIXED	Kim Swartz, Victoria Benson, caregivers with 6 children (1 two year old and 6 three year olds)
3	0	NO CHILDREN IN ATTENDANCE	Sharon Pace, cook, Shandell Farris, Education manager, and Myrenda Terry, Family Adovocate and designated person in charge


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process 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 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 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