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.

000725531

(573) 546-2185

321A S KNOB ST
IRONTON
MO  63650

EAST MISSOURI ACTION AGENCY, INC.



 

BRAKEFIELD, ALTHEA

ABRAKEFIELD@EASTMOAA.ORG

Incorporated

JESSICA SPENCER

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/05/2022

8:44 AM

11:50 AM

UNANNOUNCED

COMPLIANCE MONITORING

2421124952


DocumentDocument-Date
ANNUAL DECLARATION 01/24/2022
FIRE/SAFETY INSPECTION 01/03/2022
SANITATION INSPECTION 02/01/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/05/2022
EQUIPMENT LIST 04/05/2022
LOCAL ZONING APPROVAL 01/31/2014
CHILD CARE PRACTICES 09/01/2006
DAILY SCHEDULE 09/01/2006
DIRECTOR'S QUALIFICATIONS 08/30/2001
DISCIPLINE POLICIES 09/01/2006
JOB RESPONSIBILITIES 09/01/2006
LINES OF ADMINISTRATIVE AUTHORITY 09/01/2006
OWNER/PROVIDER REFERENCES 09/01/2006
POLICIES 09/01/2006
SAMPLE WEEKLY MENU 09/01/2006
APPLICATION 02/18/2020
CERTIFICATE OF GOOD STANDING 02/06/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/05/2022
DIAGRAM/INDOOR 02/06/2018
DIAGRAM/OUTDOOR 02/06/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 9
Total Children 24
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Althea Brakefield-Director Dorothy Moyer-Cook Candice Winick-Family Advocate
3 12 PRESCHOOL Caregivers: Peggy Hurt, Krisi Holbert and Christy Whited with twelve children ages three to five years of age.
3 12 PRESCHOOL Caregivers: Christie Booth, Amanda Huff and Tiffany Hayes with twelve children ages three to five years of age.

 
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 Family Care Safety Registry check was not conducted for Christie Booth, Amanda Huff, Kimberly Edgar, Denis Moore and Renee 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

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

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
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by Class A and Class B had portions of the plan in their room; however, they were missing the full plan.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
4/5/2022
Violation
The facility's disaster and emergency plan was not available in the office.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
4/5/2022
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Christie Booth needs 10 clock hours, Althea Brakefield needs 10 clock hours, Kristina Holbert (Hartwick) needs 4 clock hours, Tiffany Hayes needs 10 clock hours, Amanda Huff needs 10 clock hours, Peggy Hurt needs 10 clock hours, Christy Whited needs 10 clock hours and Candice Winick needs 10 clock hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when an accident occurred. The time, method and staff member information was not documented on the form.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

Correction Verification
Corrected on Site

Compliance Date
4/5/2022
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