DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSOURI OZARKS COMMUNITY ACTION, INC.

000702896

(573) 793-6713

202 LOMBAR ST
IBERIA
MO  65486-9111

MISSOURI OZARKS COMMUNITY ACTION, INC.



 

WILSON, DORIS DAWN

dwilson@mocacaa.org

Incorporated

LACEY BERENDZEN

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

10/07/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2431688326


DocumentDocument-Date
APPLICATION 06/05/2019
STAFF SHEET 08/20/2019
JOB RESPONSIBILITIES 08/20/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/20/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/20/2019
DIRECTOR'S QUALIFICATIONS 08/20/2019
SAMPLE WEEKLY MENU 08/20/2019
SAMPLE FORMS 08/20/2019
DAILY SCHEDULE 08/20/2019
DIAGRAM/OUTDOOR 08/20/2019
REGISTERING FICTITIOUS NAMES 08/16/2019
DISCIPLINE POLICIES 08/20/2019
DIAGRAM/INDOOR 08/20/2019
CERTIFICATE OF GOOD STANDING 08/20/2019
ARTICLES OF INCORPORATION 08/20/2019
CHILD CARE PRACTICES 08/20/2019
POLICIES 08/20/2019
LOCAL ZONING APPROVAL 09/05/2019
LOCAL BUILDING APPROVAL 09/05/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 09/05/2019
FIRE/SAFETY INSPECTION 09/14/2022
EQUIPMENT LIST 06/22/2022
ANNUAL DECLARATION 06/22/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/22/2022
SANITATION INSPECTION 05/10/2022




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 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
9/14/2022
Violation
The Family Care Safety Registry check was not conducted for Don Myers 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
9/28/2022
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Wendy Miller.
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
9/12/2022
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