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

002191319

(573) 778-0083

1140 HERSCHEL BESS BLVD
POPLAR BLUFF
MO  63901

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 6
WINONA
MO  65588-0006

ELLIS, JAIME GALE

jellis@scmcaa.org

Incorporated

MELISSA JILL SMITH

BIRTH - 5 YEARS

84

GROUP HOME AND CENTER

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

11/01/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2411585680


DocumentDocument-Date
EQUIPMENT LIST 08/24/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/04/2021
FIRE/SAFETY INSPECTION 08/24/2021
ANNUAL DECLARATION 08/04/2021
APPLICATION 07/01/2020
STAFF SHEET 08/24/2020
SANITATION INSPECTION 09/09/2020
DAILY SCHEDULE 08/05/2010
JOB RESPONSIBILITIES 08/05/2010
SAMPLE WEEKLY MENU 08/05/2010
ARTICLES OF INCORPORATION 08/05/2010
LINES OF ADMINISTRATIVE AUTHORITY 09/01/2010
DISCIPLINE POLICIES 12/11/2014
CHILD CARE PRACTICES 12/11/2014
POLICIES 12/11/2014
DIRECTOR'S QUALIFICATIONS 12/30/2015
DIAGRAM/INDOOR 08/05/2010
DIAGRAM/OUTDOOR 08/05/2010
LOCAL ZONING APPROVAL 01/11/2010
LOCAL FIRE DEPARTMENT NOTIFICATION 01/08/2016
CERTIFICATE OF GOOD STANDING 06/20/2018




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in classroom 9 was/were not finished with material which can be cleaned easily as evidenced by paint is chipping on the wall and on the window sill.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
11/1/2021
Violation
The walls located in classroom 1 was/were not finished with material which can be cleaned easily as evidenced by the paint is chipping underneath the window.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
11/1/2021
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, the second wooden shelf to the left of the entrance, in classroom 5 was not free of sharp parts as evidenced by the top corner of the shelf is cracked causing a sharp edge to be accessible to children.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date
11/1/2021
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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