DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670671

(660) 465-2514

238 N JOHNSON
MEMPHIS
MO  63555

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

CHANCE, PAMELA LYNN

pchance@capnemo.org

Incorporated

BETHANY C DUCKWORTH

BIRTH - 5 YEARS

32

GROUP HOME AND CENTER

12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

06/13/2022

12:50 PM

1:48 PM

UNANNOUNCED

COMPLIANCE MONITORING

2425214291


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/09/2022
ANNUAL DECLARATION 02/09/2022
ARTICLES OF INCORPORATION 01/24/1995
LOCAL ZONING APPROVAL 07/03/2006
JOB RESPONSIBILITIES 08/11/2006
DIRECTOR'S QUALIFICATIONS 05/16/2012
SAMPLE WEEKLY MENU 12/18/2013
POLICIES 12/18/2013
LINES OF ADMINISTRATIVE AUTHORITY 12/18/2013
DISCIPLINE POLICIES 12/18/2013
DIAGRAM/OUTDOOR 12/18/2013
DIAGRAM/INDOOR 12/18/2013
CERTIFICATE OF GOOD STANDING 12/18/2013
CHILD CARE PRACTICES 12/18/2013
DAILY SCHEDULE 04/13/2016
SANITATION INSPECTION 05/05/2022
FIRE/SAFETY INSPECTION 03/29/2021
SAFE SLEEP POLICY 02/14/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/17/2019
APPLICATION 01/15/2020
STAFF SHEET 01/15/2020
EQUIPMENT LIST 02/09/2022




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.
Attendance at Time of Inspection
Total Staff 4
Total Children 9
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Staff: Pam Chance. Age range 5 months through 15 months.
1 0 NO CHILDREN IN ATTENDANCE Staff: Kimberly Campbell. Site supervisor. Not counted in child/staff ratio.
2 5 TWO YEAR OLDS Staff: Laura McCartney and Sarah Tinkle. All children 2 years old.

Compliance List
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 fire safety inspection was not approved.
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
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 25-500.162 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