MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Facility DVN
000744154

Phone
(660) 429-1144

Physical Address
330 E GAY ST
WARRENSBURG
MO 64093-1952

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
WARLEN, KRISTINA BETH

E-mail Address
warlenk@mvcaa.net

Incorporated
Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
36 MONTHS - 5 YEARS

Capacity
38

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
05/27/2022

Arrival Time
10:36 AM

Departure Time
11:15 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2424631614

Document	Document-Date
ARTICLES OF INCORPORATION	02/15/2017
LOCAL ZONING APPROVAL	08/11/1997
LOCAL BUILDING APPROVAL	12/15/1999
DIAGRAM/INDOOR	05/15/2007
DIAGRAM/OUTDOOR	09/08/2010
SAMPLE WEEKLY MENU	09/14/1999
DAILY SCHEDULE	09/17/1999
POLICIES	09/17/1999
DISCIPLINE POLICIES	09/17/1999
LINES OF ADMINISTRATIVE AUTHORITY	07/01/1999
CHILD CARE PRACTICES	09/17/1999
JOB RESPONSIBILITIES	05/22/2007
APPLICATION	03/12/2019
STAFF SHEET	03/12/2019
CERTIFICATE OF GOOD STANDING	10/26/2017
EQUIPMENT LIST	04/21/2022
SANITATION INSPECTION	05/27/2022
FIRE/SAFETY INSPECTION	05/27/2022
ANNUAL DECLARATION	04/21/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/27/2022

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.

Attendance at Time of Inspection

Total Staff 4

Staff	Child	Class Age	Note
4	0	NO CHILDREN IN ATTENDANCE	Kristina Warlen, Nikole Vandiver, Shelia Evans and Kayla Kessinger present with no children in attendance. Open three days a week until summer break this year.


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Compliance
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 Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
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 Not Observed
5 CSR 25-500.212 Transportation and Field Trips Not Observed
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