MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

Facility DVN
002767304

Phone
(636) 232-0966

Physical Address
3921 JEFFCO BLVD
ARNOLD
MO 63010-4211

Owner
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

Mailing Address
PO BOX 920
HILLSBORO
MO 63050-0920

Provider/Director
ROEBUCK, RONDA LEE

E-mail Address
rroebuck@jfcac.org

Incorporated
Incorporated

Child Care Specialist
BRITTANY HECHT

Age Range
6 WEEKS - 5 YEARS

Capacity
23

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
01/11/2022

Arrival Time
10:38 AM

Departure Time
12:01 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2415880076

Document	Document-Date
FIRE/SAFETY INSPECTION	10/07/2021
APPLICATION	06/18/2020
SANITATION INSPECTION	09/23/2021
ARTICLES OF INCORPORATION	06/18/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	01/13/2020
LINES OF ADMINISTRATIVE AUTHORITY	01/13/2020
DIRECTOR'S QUALIFICATIONS	09/03/2019
JOB RESPONSIBILITIES	01/13/2020
POLICIES	01/13/2020
SAMPLE WEEKLY MENU	01/13/2020
SAFE SLEEP POLICY	06/18/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/18/2020
DAILY SCHEDULE	10/29/2020
EQUIPMENT LIST	01/11/2022
CHILD CARE PRACTICES	07/25/2019
DIAGRAM/INDOOR	10/29/2020
DIAGRAM/OUTDOOR	10/29/2020
DISCIPLINE POLICIES	07/25/2019
SAMPLE FORMS	07/25/2019
STAFF SHEET	09/15/2020
CERTIFICATE OF GOOD STANDING	12/10/2020
LICENSING ORIENTATION	11/04/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/11/2022
LOCAL ZONING APPROVAL	11/16/2020
LOCAL BUILDING APPROVAL	11/16/2020
ANNUAL DECLARATION	01/11/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 7

Total Children 15

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Michelle Horton & Charlee Auman, Caregivers 7 - 12-23 Month Olds
3	0	NO CHILDREN IN ATTENDANCE	Ronda Roebuck, Director Melissa Hutchen, Cook Kay Williams, Family Coach
2	8	PRESCHOOL	Juliet Sanders & Sarah Johnston, Caregivers 8 - 3-5 Year Olds

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

Violation

	Provider Comments
Violation Medical examination report form did not contain all required information as evidenced by it did not include the required information on the report for Juliet Sanders. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form. Correction Required Medical reports shall be on file as required. Correction Verification Submit Documentation Compliance Date

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