DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSOURI VALLEY COMMUNITY ACTION AGENCY

000610173

(660) 886-9980

1498 LEXINGTON
MARSHALL
MO  65340

MISSOURI VALLEY COMMUNITY ACTION AGENCY



 

CROSS, RACHELLE DAWN

crossr@mvcaa.net

Incorporated

ELLEN DONOHO

36 MONTHS - 5 YEARS

50

GROUP HOME AND CENTER

 
Inspection Information

02/08/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2417490039


DocumentDocument-Date
ARTICLES OF INCORPORATION 04/08/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/09/2018
SAMPLE WEEKLY MENU 08/23/2007
CHILD CARE PRACTICES 08/23/2007
POLICIES 08/23/2007
LOCAL ZONING APPROVAL 08/27/2007
DIAGRAM/INDOOR 08/23/2007
DIAGRAM/OUTDOOR 08/23/2007
DISCIPLINE POLICIES 10/16/2018
JOB RESPONSIBILITIES 10/16/2018
LINES OF ADMINISTRATIVE AUTHORITY 10/16/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 11/08/2018
CERTIFICATE OF GOOD STANDING 12/13/2021
STAFF SHEET 03/28/2019
APPLICATION 03/28/2019
DIRECTOR'S QUALIFICATIONS 04/16/2019
SANITATION INSPECTION 10/15/2021
FIRE/SAFETY INSPECTION 11/04/2020
ANNUAL DECLARATION 12/31/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/31/2020
EQUIPMENT LIST 12/31/2020
DAILY SCHEDULE 09/09/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:30AM   12:30PM   8/13/2008



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
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
Violation
 Provider Comments
Violation
One child child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/8/2022
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