MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
001939531

Phone
(573) 443-1955

Physical Address
1402 W WORLEY ST
COLUMBIA
MO 65203

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
EBERHARDT, KATELYNN

E-mail Address
katiee@cmca.us

Incorporated

Child Care Specialist
JIM PARSLEY

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
03/02/2022

Arrival Time
9:15 AM

Departure Time
10:40 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2419251879

Document	Document-Date
LOCAL BUILDING APPROVAL	08/18/2011
LOCAL ZONING APPROVAL	08/18/2011
DIAGRAM/OUTDOOR	03/03/2017
DIAGRAM/INDOOR	03/03/2017
ARTICLES OF INCORPORATION	08/22/2011
DIRECTOR'S QUALIFICATIONS	09/12/2014
CERTIFICATE OF GOOD STANDING	05/26/2015
CHILD CARE PRACTICES	08/22/2011
DISCIPLINE POLICIES	08/22/2011
DAILY SCHEDULE	08/22/2011
JOB RESPONSIBILITIES	08/22/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/22/2011
POLICIES	08/22/2011
SAMPLE FORMS	08/22/2011
SAMPLE WEEKLY MENU	08/22/2011
STAFF SHEET	06/23/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/26/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	08/22/2011
SAFE SLEEP POLICY	05/26/2015
APPLICATION	06/12/2019
FIRE/SAFETY INSPECTION	04/14/2021
SANITATION INSPECTION	05/26/2021
EQUIPMENT LIST	06/24/2021
ANNUAL DECLARATION	06/24/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/24/2021
LICENSING ORIENTATION	08/22/2011

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 7

Total Children 25

Staff	Child	Class Age	Note
2	5	MIXED	There were 5 children 15 months through 2 years of age in care including 3 two-year-olds being supervised by Allison Hodge and Kimberly Sandy.
2	6	MIXED	There were 6 children 1-2 years of age in care including 2 two-year-olds being supervised by Christina Kempf and Janett Wrisley.
2	14	MIXED	There were 14 preschool children 3-5 years of age in care being supervised by Cami Drew and Tomin Thaickal.
1	0	NO CHILDREN IN ATTENDANCE	Director, Katelynn Eberhardt, also present.

Compliance List
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 Not Observed
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