DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000753528

(573) 729-3188

1405 S WINES ST
SALEM
MO  65560

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY



 

SEGOVIA, MELODY DAWN

dsegovia@scmcaa.org

Incorporated

SAMINA C HISE

BIRTH - 5 YEARS

72

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 8 CHILDREN UNDER 12 MONTHS
 
Inspection Information

09/22/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2408947810


DocumentDocument-Date
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
STAFF SHEET 01/16/2019
SAFE SLEEP POLICY 01/16/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 01/16/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/16/2019
EQUIPMENT LIST 02/02/2021
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.

 
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
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
9/21/2021
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