DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSOURI OZARKS COMMUNITY ACTION, INC.

000702896

(573) 793-6713

202 LOMBAR ST
IBERIA
MO  65486-9111

MISSOURI OZARKS COMMUNITY ACTION, INC.



 

WILSON, DORIS DAWN

dwilson@mocacaa.org

Incorporated

LACEY THOMPSON

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

03/14/2022

11:45 AM

1:03 PM

UNANNOUNCED

COMPLIANCE MONITORING

2419688346


DocumentDocument-Date
APPLICATION 06/05/2019
STAFF SHEET 08/20/2019
JOB RESPONSIBILITIES 08/20/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/20/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/20/2019
DIRECTOR'S QUALIFICATIONS 08/20/2019
SAMPLE WEEKLY MENU 08/20/2019
SAMPLE FORMS 08/20/2019
DAILY SCHEDULE 08/20/2019
DIAGRAM/OUTDOOR 08/20/2019
REGISTERING FICTITIOUS NAMES 08/16/2019
DISCIPLINE POLICIES 08/20/2019
DIAGRAM/INDOOR 08/20/2019
CERTIFICATE OF GOOD STANDING 08/20/2019
ARTICLES OF INCORPORATION 08/20/2019
CHILD CARE PRACTICES 08/20/2019
POLICIES 08/20/2019
LOCAL ZONING APPROVAL 09/05/2019
LOCAL BUILDING APPROVAL 09/05/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 09/05/2019
FIRE/SAFETY INSPECTION 07/20/2021
EQUIPMENT LIST 07/06/2021
ANNUAL DECLARATION 07/06/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/06/2021
SANITATION INSPECTION 08/30/2021




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 3
Total Children 13
StaffChildClass AgeNote
3 13 PRESCHOOL Doris Wilson, Tiffany Davis, and Ashlynd Coffey-Page with 13 children all ages 3-5 years old.