DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000750361

(573) 325-8272

8120 STATE HIGHWAY 19
WINONA
MO  65588-8374

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 341
WINONA
MO  65588-0341

MAYS, MEGAN KATHLEEN

SCMCAA@HOTMAIL.COM

Incorporated

SARAH L THACKER

BIRTH - 5 YEARS

28

GROUP HOME AND CENTER

4 CHILDREN IN THE INFANT/TODDLER UNIT; 2 CHILDREN UNDER 12 MONTHS
 
Inspection Information

04/29/2022

1:39 PM

1:39 PM

UNANNOUNCED

SUPPLEMENTAL

2422717844


DocumentDocument-Date
ARTICLES OF INCORPORATION 07/17/2018
CERTIFICATE OF GOOD STANDING 07/17/2018
CHILD CARE PRACTICES 07/17/2018
DAILY SCHEDULE 07/17/2018
DIAGRAM/INDOOR 07/17/2018
DIAGRAM/OUTDOOR 07/17/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/17/2018
DISCIPLINE POLICIES 07/17/2018
SAMPLE WEEKLY MENU 07/17/2018
SAFE SLEEP POLICY 07/17/2018
POLICIES 07/17/2018
LOCAL ZONING APPROVAL 07/17/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 07/17/2018
LOCAL BUILDING APPROVAL 07/17/2018
LINES OF ADMINISTRATIVE AUTHORITY 07/17/2018
JOB RESPONSIBILITIES 07/17/2018
DIRECTOR'S QUALIFICATIONS 07/02/2018
APPLICATION 07/06/2020
STAFF SHEET 08/20/2020
EQUIPMENT LIST 08/20/2020
SANITATION INSPECTION 05/21/2021
FIRE/SAFETY INSPECTION 05/05/2021




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The walls located in the toddler room was/were not finished with material which can be cleaned easily as evidenced by paint was peeling off the wall exposing the sheetrock.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
1/11/2022
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
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: Whitney Sheperd and Christina Jensen.
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
1/5/2022
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Whitney Sheperd needs 1 clock hour for 2021 and Christina Jensen needs 1 clock hour for 2021.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date
4/29/2022
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: Alice Brown needs 3.5 hours. As of 4/29/22, Alice Brown need 2.5 hours for 2021.
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
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Christina Jensen 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
1/19/2022
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Christina Jensen.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
1/18/2022
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.152 Hourly Care Facilities
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed