MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Facility DVN
000744127

Phone
(660) 563-3751

Physical Address
502 E LUCAS
KNOB NOSTER
MO 65336

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
BURDIYENKO, OLGA

E-mail Address
CrossR@mvcaa.net

Incorporated
Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
36 MONTHS - 5 YEARS

Capacity
40

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
12/09/2021

Arrival Time
9:40 AM

Departure Time
10:06 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2413956538

Document	Document-Date
DAILY SCHEDULE	10/04/1995
SAMPLE WEEKLY MENU	10/04/1995
LINES OF ADMINISTRATIVE AUTHORITY	10/04/1995
LOCAL BUILDING APPROVAL	01/03/1991
LOCAL ZONING APPROVAL	01/03/1991
POLICIES	04/01/2005
DISCIPLINE POLICIES	04/01/2005
JOB RESPONSIBILITIES	05/22/2007
CHILD CARE PRACTICES	04/01/2005
DIAGRAM/INDOOR	04/24/2001
DIAGRAM/OUTDOOR	12/07/1995
ARTICLES OF INCORPORATION	12/07/1994
CERTIFICATE OF GOOD STANDING	12/07/2017
APPLICATION	02/01/2019
STAFF SHEET	04/02/2019
FIRE/SAFETY INSPECTION	01/26/2021
SANITATION INSPECTION	02/11/2021
EQUIPMENT LIST	04/23/2021
ANNUAL DECLARATION	04/23/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/23/2021

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 3

Staff	Child	Class Age	Note
3	0	NO CHILDREN IN ATTENDANCE	Lisa Okan and Gretchen Dennison (staff). Brianna Mason (volunteer). No children present.


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 Compliance
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 Compliance
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 Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
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 Not Observed
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