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

001380876

(660) 754-6288

505 WELSH DR
WAYLAND
MO  63472

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

WOLFE, JILL MARIE

kcampbell@capnemo.org

Incorporated

BETHANY C DUCKWORTH

6 WEEKS - 5 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

06/23/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2425934232


DocumentDocument-Date
ANNUAL DECLARATION 04/04/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/04/2022
SAMPLE FORMS 01/16/2014
SAMPLE WEEKLY MENU 01/16/2014
DAILY SCHEDULE 01/16/2014
CHILD CARE PRACTICES 01/16/2014
DIAGRAM/OUTDOOR 01/16/2014
DIAGRAM/INDOOR 01/16/2014
APPLICATION 01/20/2019
EQUIPMENT LIST 04/04/2022
FIRE/SAFETY INSPECTION 02/28/2022
STAFF SHEET 03/12/2019
DIRECTOR'S QUALIFICATIONS 02/24/2021
SAFE SLEEP POLICY 10/31/2018
LINES OF ADMINISTRATIVE AUTHORITY 01/16/2014
DISCIPLINE POLICIES 01/16/2014
POLICIES 01/16/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/15/2020
ARTICLES OF INCORPORATION 10/30/1967
JOB RESPONSIBILITIES 07/15/1999
CERTIFICATE OF GOOD STANDING 09/20/2019
SANITATION INSPECTION 03/15/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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 Family Care Safety Registry check was not conducted for Stacie McKay, Beth Howard, Jill Wolfe, Kim Himenes, Debbra Ewart, James Robertson and Matilda Small 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
6/13/2022
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 25-500.162 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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Matilda Small (Designee). .
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
6/14/2022
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