DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHA LOW-INCOME SERVICES, INC.

002331060

(573) 443-2556

310 N PROVIDENCE RD
COLUMBIA
MO  65203

CHA LOW-INCOME SERVICES, INC.

201 SWITZLER ST
COLUMBIA
MO  65203

BROOKS, JANICE LASHAUN

jbrooks@columbiaha.com

Incorporated

CHRISTINA BRUCE

5 YEARS - 16 YEARS

99

GROUP HOME AND CENTER

 
Inspection Information

05/16/2022

2:50 PM

4:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2423751479


DocumentDocument-Date
DISCIPLINE POLICIES 04/19/2012
LINES OF ADMINISTRATIVE AUTHORITY 05/01/2012
JOB RESPONSIBILITIES 05/01/2012
DIRECTOR'S QUALIFICATIONS 04/25/2012
SAMPLE FORMS 04/19/2012
CHILD CARE PRACTICES 04/19/2012
SAMPLE WEEKLY MENU 05/01/2012
DAILY SCHEDULE 05/01/2012
POLICIES 04/19/2012
DIAGRAM/OUTDOOR 05/01/2012
DIAGRAM/INDOOR 04/09/2012
CERTIFICATE OF GOOD STANDING 12/27/2011
ARTICLES OF INCORPORATION 04/28/2003
LOCAL ZONING APPROVAL 05/01/2012
LOCAL BUILDING APPROVAL 05/01/2012
APPLICATION 03/12/2018
FIRE/SAFETY INSPECTION 07/01/2021
EQUIPMENT LIST 05/16/2022
STAFF SHEET 05/10/2021
SANITATION INSPECTION 03/18/2022
ANNUAL DECLARATION 05/16/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/16/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 11
Total Children 9
StaffChildClass AgeNote
5 0 NO CHILDREN IN ATTENDANCE Director Janice Brooks, Micheala Flores and Ember Collins-Sportsman Javion Jackmon, Sean Hamilton, staff on premises.
1 3 SCHOOL AGE Children ages 11 - 15 years old. Caregiver Alexis Seals.
2 2 SCHOOL AGE Children ages 5 - 6 years old. Kenya Curtis and Vita Lux caregivers.
3 4 SCHOOL AGE Children ages 7 - 8 years old with Howard Chen, and Toni Randle and Joey Cummings (volunteers)

 
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 Janice Brooks, Kenya Curtis, Micheala Flores, Howard Chen, Hatti Haerr, Sean Hamilton, JayVion Jackmon, Vida Lux, Alexis Seals, Dacia Slater, Payton Wodruff and Ember Collins-Sportsman 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 fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety 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
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Background screening information was not available for review for Toni Randle.
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Howard Chen.
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

5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Corrected on Site

Compliance Date
5/16/2022
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
One (Child E) child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
One (Child A) child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

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