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
002664817

Phone
(573) 778-9411

Physical Address
1150 HERSCHEL BESS BLVD
POPLAR BLUFF
MO 63901-3075

Owner
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
MOORE, ELIZABETH ANN

E-mail Address
emoore@scmcaa.org

Incorporated
Incorporated

Child Care Specialist
SAMINA C HISE

Age Range
36 MONTHS - 5 YEARS

Capacity
80

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
09/21/2021

Arrival Time
2:09 PM

Departure Time
3:16 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2408947789

Document	Document-Date
DIAGRAM/INDOOR	08/20/2018
ARTICLES OF INCORPORATION	08/20/2018
DISCIPLINE POLICIES	07/16/2018
JOB RESPONSIBILITIES	07/16/2018
SAMPLE WEEKLY MENU	07/16/2018
DAILY SCHEDULE	07/16/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/16/2018
STAFF SHEET	08/20/2018
DIRECTOR'S QUALIFICATIONS	08/20/2018
POLICIES	07/27/2018
CHILD CARE PRACTICES	07/16/2018
LINES OF ADMINISTRATIVE AUTHORITY	08/20/2018
DIAGRAM/OUTDOOR	08/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	08/23/2018
CERTIFICATE OF GOOD STANDING	07/14/2020
FIRE/SAFETY INSPECTION	12/16/2020
ANNUAL DECLARATION	02/01/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/01/2021
EQUIPMENT LIST	02/01/2021
LOCAL ZONING APPROVAL	02/02/2021
SANITATION INSPECTION	10/14/2020

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

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 13

Total Children 64

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Director Elizabeth Moore with no children.
3	18	PRESCHOOL	Caregivers Kimberly Thacker, Carol Muller and Karen Mattox with eighteen children aged three to five years old.
5	13	PRESCHOOL	Caregivers Paige Alexander, Nancy Powell, Jessika Uetrecht and Samantha Smith as well as Mentor Robin Ellsworth with 13 children aged three to five years old.
2	15	PRESCHOOL	Caregivers Shelly Summers and Courtney Aldridge with fifteen children aged three to five years old.
2	18	PRESCHOOL	Caregivers Alitia Stark and Nikki Crumrine with 18 children aged three to five years old.


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 Violation
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