MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
001939531

Phone
(573) 443-1955

Physical Address
1402 W WORLEY ST
COLUMBIA
MO 65203

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
EBERHARDT, KATELYNN

E-mail Address
katiee@cmca.us

Incorporated

Child Care Specialist
JIM PARSLEY

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
08/19/2021

Arrival Time
9:10 AM

Departure Time
10:40 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2406719658

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/24/2021
ANNUAL DECLARATION	06/24/2021
LOCAL BUILDING APPROVAL	08/18/2011
LOCAL ZONING APPROVAL	08/18/2011
DIAGRAM/OUTDOOR	03/03/2017
DIAGRAM/INDOOR	03/03/2017
ARTICLES OF INCORPORATION	08/22/2011
DIRECTOR'S QUALIFICATIONS	09/12/2014
CERTIFICATE OF GOOD STANDING	05/26/2015
CHILD CARE PRACTICES	08/22/2011
DISCIPLINE POLICIES	08/22/2011
DAILY SCHEDULE	08/22/2011
JOB RESPONSIBILITIES	08/22/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/22/2011
POLICIES	08/22/2011
SAMPLE FORMS	08/22/2011
SAMPLE WEEKLY MENU	08/22/2011
APPLICATION	06/12/2019
EQUIPMENT LIST	06/24/2021
STAFF SHEET	06/23/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/26/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	08/22/2011
SAFE SLEEP POLICY	05/26/2015
FIRE/SAFETY INSPECTION	04/14/2021
SANITATION INSPECTION	05/26/2021

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 8

Total Children 22

Staff	Child	Class Age	Note
2	6	MIXED	Allison Hodge and Kimberly Sandy with 6 children 1-2 years of age.
2	3	MIXED	Christina Kemp and Coreyanna Clark with 3 children 9 months through 2 years of age.
1	0	NO CHILDREN IN ATTENDANCE	Director, Katelynn Eberhardt, also present.
3	13	PRESCHOOL	Janet Wrisle, Lauren Leible, and Amy Hodson-Commer with 13 children 3-5 years of age.