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.

000704492

(573) 334-5533

1111 LINDEN ST
CAPE GIRARDEAU
MO  63701

EAST MISSOURI ACTION AGENCY, INC.

PO BOX 658
CAPE GIRARDEAU
MO  63702

YOFFIE, KAREN DENISE

KYOFFIE@EASTMOAA.ORG

Incorporated

JESSICA SPENCER

36 MONTHS - 5 YEARS

91

GROUP HOME AND CENTER

 
Inspection Information

04/27/2022

12:45 PM

3:58 PM

UNANNOUNCED

COMPLIANCE MONITORING

2422625209


DocumentDocument-Date
ANNUAL DECLARATION 01/24/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/23/2021
DIAGRAM/OUTDOOR 01/16/1996
DIAGRAM/INDOOR 10/03/2013
JOB RESPONSIBILITIES 01/09/1996
DISCIPLINE POLICIES 01/22/1996
POLICIES 01/22/1996
LINES OF ADMINISTRATIVE AUTHORITY 01/09/1996
ARTICLES OF INCORPORATION 09/27/1995
CHILD CARE PRACTICES 01/22/1996
SAMPLE WEEKLY MENU 01/09/1996
DAILY SCHEDULE 01/09/1996
LOCAL ZONING APPROVAL 01/06/2015
APPLICATION 12/23/2019
EQUIPMENT LIST 04/27/2022
DIRECTOR'S QUALIFICATIONS 03/08/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2018
STAFF SHEET 02/28/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 03/06/2018
CERTIFICATE OF GOOD STANDING 02/24/2020
FIRE/SAFETY INSPECTION 02/15/2022
SANITATION INSPECTION 01/31/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 13
Total Children 43
StaffChildClass AgeNote
5 0 NO CHILDREN IN ATTENDANCE Meagan Johnson-Cook Valencia Floyd-Cook Jane Diggs-ASA Esther Shutters-FA/Designated Person in Charge Georgia Jones-Webb-FA
4 22 PRESCHOOL Caregivers: Alma Gray, Carol Mack, Rebecca Kaufman and Alexis Naeger with twenty-two children ages three to five years of age.
2 12 PRESCHOOL Caregivers: Jasonee Hughes and Teresa Black with twelve children ages three to five years of age.
2 9 PRESCHOOL Caregivers: Erin Goettl and Jessie Wesselmann with nine 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 staff sheet was not fully completed as evidenced by 6 staff members were not listed on the staff sheet. One staff member's name was spelled incorrectly. The title section was filled out incorrectly.
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
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches. The gap was located at the bottom of the gate.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: 1 bottle of Clorox Cleaner & Bleach, 1 bottle of Glade Spray, 1 bottle of Lysol Toilet Cleaner, 1 bottle of Windex, 1 bottle of Coment Cleaner, 1 bottle of Clorox Bathroom Foam and 1 bottle of Coment Cleaner with Bleach. The item(s) was/were located under the sink in the staff restroom and in the stall of the staff restroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
4/27/2022
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 4 protective outlet covers were missing in Room 103.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
4/27/2022
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
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: Jane Diggs needs 10 clock hours and Erin Goettl needs 2 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
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
Violation
 Provider Comments
Violation
Records were not available for inspection by the department upon request as evidenced by Karen Yoffie, Director was not present and staff records were locked. Karen had the key to the file cabinet with her preventing anyone from having access to the records.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (11) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date

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