DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

000280137

(573) 449-1575

403 PARK AVE STE B
COLUMBIA
MO  65201-4374

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

POULSEN, ASHLEY LYNN

ashleyp@cmca.us

Incorporated

JIM PARSLEY

6 WEEKS - 5 YEARS

53

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/16/2022

1:30 PM

3:54 PM

UNANNOUNCED

COMPLIANCE MONITORING

2418240447


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 03/27/2012
JOB RESPONSIBILITIES 10/12/1994
ARTICLES OF INCORPORATION 03/13/2006
CHILD CARE PRACTICES 09/25/2012
SAMPLE WEEKLY MENU 10/12/1994
DAILY SCHEDULE 09/10/2001
POLICIES 09/25/2012
DIAGRAM/OUTDOOR 09/10/2001
DIAGRAM/INDOOR 05/07/2001
LOCAL ZONING APPROVAL 02/01/1995
LOCAL BUILDING APPROVAL 02/01/1995
CERTIFICATE OF GOOD STANDING 11/22/2016
APPLICATION 12/05/2018
STAFF SHEET 12/05/2018
DISCIPLINE POLICIES 09/25/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/22/2008
SAMPLE FORMS 09/25/2012
ANNUAL DECLARATION 12/09/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/09/2021
EQUIPMENT LIST 12/09/2021
FIRE/SAFETY INSPECTION 11/23/2021
SANITATION INSPECTION 12/17/2020




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 8
Total Children 22
StaffChildClass AgeNote
2 4 MIXED Mahasin Awadelkarim and Shaequayl Mitchell with 4 children 6 weeks through 2 years of age.
1 0 NO CHILDREN IN ATTENDANCE Director, Ashley Poulsen, also present.
2 7 PRESCHOOL Benjamin Eoff and Michelle Merk with 7 children 3-5 years of age.
1 7 PRESCHOOL Paulette Andrews with 7 children 3-5 years of age.
2 4 PRESCHOOL Kelley Schrier and Kim Miller with 4 children 3-5 years of age.