DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSOURI VALLEY COMMUNITY ACTION AGENCY

000744127

(660) 563-3751

502 E LUCAS
KNOB NOSTER
MO  65336

MISSOURI VALLEY COMMUNITY ACTION AGENCY



 

BURDIYENKO, OLGA

okanl@mvcaa.net

Incorporated

JONATHAN BRADLEY

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

08/17/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2429214919


DocumentDocument-Date
DAILY SCHEDULE 10/04/1995
SAMPLE WEEKLY MENU 10/04/1995
LINES OF ADMINISTRATIVE AUTHORITY 10/04/1995
LOCAL BUILDING APPROVAL 01/03/1991
LOCAL ZONING APPROVAL 01/03/1991
POLICIES 04/01/2005
DISCIPLINE POLICIES 04/01/2005
JOB RESPONSIBILITIES 05/22/2007
CHILD CARE PRACTICES 04/01/2005
DIAGRAM/INDOOR 04/24/2001
DIAGRAM/OUTDOOR 12/07/1995
ARTICLES OF INCORPORATION 12/07/1994
CERTIFICATE OF GOOD STANDING 12/07/2017
APPLICATION 02/01/2019
STAFF SHEET 04/02/2019
FIRE/SAFETY INSPECTION 02/28/2022
SANITATION INSPECTION 02/28/2022
EQUIPMENT LIST 08/17/2022
ANNUAL DECLARATION 08/17/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/17/2022




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 equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date
8/17/2022
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date
8/17/2022
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date
8/17/2022
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
2/28/2022
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
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