DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670680

(660) 397-3428

401 N 1ST ST
EDINA
MO  63537-1029

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

LEDFORD, KATHLEEN GRAY

mgivens@capnemo.org

Incorporated

BETHANY C DUCKWORTH

6 WEEKS - 5 YEARS

28

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

01/10/2022

9:05 AM

10:45 AM

UNANNOUNCED

COMPLIANCE MONITORING

2415695910


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/10/2021
ANNUAL DECLARATION 11/10/2021
DAILY SCHEDULE 10/04/2011
SAMPLE WEEKLY MENU 03/24/1997
SAFE SLEEP POLICY 02/14/2017
LINES OF ADMINISTRATIVE AUTHORITY 11/04/2019
LOCAL ZONING APPROVAL 01/10/1995
ARTICLES OF INCORPORATION 10/08/1965
DIAGRAM/INDOOR 01/03/2013
DIAGRAM/OUTDOOR 11/04/2009
CHILD CARE PRACTICES 10/04/2011
DISCIPLINE POLICIES 10/04/2011
POLICIES 10/04/2011
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/06/2019
APPLICATION 10/09/2019
EQUIPMENT LIST 11/10/2021
STAFF SHEET 10/09/2019
SANITATION INSPECTION 11/03/2021
JOB RESPONSIBILITIES 11/04/2019
DIRECTOR'S QUALIFICATIONS 09/05/2019
CERTIFICATE OF GOOD STANDING 12/10/2019
FIRE/SAFETY INSPECTION 10/01/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 6
Total Children 23
StaffChildClass AgeNote
2 6 MIXED Staff: Sadie Moore and Zoe Fridley. Age range 6 months through 2 years. Four 2 year old children.
3 17 MIXED Staff: Tonya Hunt, Brittany Harsell, and Mary McCarty. Age range 3 years through 5 years.
1 0 NO CHILDREN IN ATTENDANCE Staff: Ruth Givens. Cook

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Matilda Small within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

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
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Matila Small - Designee.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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