DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

000280137

(573) 449-1575

403 PARK AVE STE B
COLUMBIA
MO  65201-4374

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

POULSEN, ASHLEY LYNN

ashleyp@cmca.us

Incorporated

JIM PARSLEY

6 WEEKS - 5 YEARS

53

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/12/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2423488803


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 03/27/2012
JOB RESPONSIBILITIES 10/12/1994
ARTICLES OF INCORPORATION 03/13/2006
CHILD CARE PRACTICES 09/25/2012
SAMPLE WEEKLY MENU 10/12/1994
DAILY SCHEDULE 09/10/2001
POLICIES 09/25/2012
DIAGRAM/OUTDOOR 09/10/2001
DIAGRAM/INDOOR 05/07/2001
LOCAL ZONING APPROVAL 02/01/1995
LOCAL BUILDING APPROVAL 02/01/1995
CERTIFICATE OF GOOD STANDING 11/22/2016
APPLICATION 12/05/2018
STAFF SHEET 12/05/2018
DISCIPLINE POLICIES 09/25/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/22/2008
SAMPLE FORMS 09/25/2012
ANNUAL DECLARATION 12/09/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/09/2021
EQUIPMENT LIST 12/09/2021
FIRE/SAFETY INSPECTION 11/23/2021
SANITATION INSPECTION 05/12/2022




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.

 
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 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
5/12/2022
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
Compliance
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
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