DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

EAST MISSOURI ACTION AGENCY, INC.

000705919

(573) 238-3652

400 STATE HIGHWAY 34 EAST
MARBLE HILL
MO  63764

EAST MISSOURI ACTION AGENCY, INC.

PO BOX 626
MARBLE HILL
MO  63764-0626

BILEK, BARBARA ANN

BBILEK@EASTMOAA.ORG

Incorporated

SARAH L THACKER

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/04/2022

9:40 AM

11:27 AM

UNANNOUNCED

COMPLIANCE MONITORING

2420844152


DocumentDocument-Date
DIAGRAM/INDOOR 06/28/2006
DIAGRAM/OUTDOOR 06/28/2006
LOCAL ZONING APPROVAL 01/29/2014
DAILY SCHEDULE 08/23/2006
SAMPLE WEEKLY MENU 08/23/2006
SAMPLE FORMS 11/18/1998
JOB RESPONSIBILITIES 08/23/2006
CHILD CARE PRACTICES 08/23/2006
POLICIES 08/23/2006
DISCIPLINE POLICIES 08/23/2006
LINES OF ADMINISTRATIVE AUTHORITY 08/23/2006
DIRECTOR'S QUALIFICATIONS 09/19/2009
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/19/2018
APPLICATION 01/27/2020
STAFF SHEET 02/07/2020
CERTIFICATE OF GOOD STANDING 02/07/2020
EQUIPMENT LIST 04/05/2021
FIRE/SAFETY INSPECTION 01/05/2022
SANITATION INSPECTION 01/27/2021
ANNUAL DECLARATION 01/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/19/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 27
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Additional staff on the premises that did not count in ratio include Barb Bilek, Lisa Isom, Theresa Scherer and Teresa Brimer.
2 13 PRESCHOOL Caregivers Brooke Killian and April Worthen with children ages 3 to 5.
2 14 PRESCHOOL Caregivers Annie Roark, Jennifer Crosno, and Mercades Scherer with children ages 3 to 5.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Corrected on Site

Compliance Date
4/4/2022
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Corrected on Site

Compliance Date
4/4/2022
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Barb Bilek, Lisa Isom, Theresa Scherer, Teresa Brimer, Jennifer Crosno, Mercades Scherer, Annie Roark, Brooke Green, April Worthen, Janie Diggs, Denis Moore and Glenda Killian within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: April Worthen and Janie Diggs.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
Background screening information was not available for review for Janie Diggs.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Janie Diggs as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
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