MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Facility DVN
000670644

Phone
(660) 665-6284

Physical Address
915 W LOCUST
KIRKSVILLE
MO 63501

Owner
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
SULLIVAN, SHEILA DENISE

E-mail Address
ssullivan@capnemo.org

Incorporated
Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
36 MONTHS - 5 YEARS

Capacity
40

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
09/27/2022

Arrival Time
11:33 AM

Departure Time
12:31 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2431727179

Document	Document-Date
SAMPLE WEEKLY MENU	03/09/1994
LOCAL ZONING APPROVAL	03/09/1994
LINES OF ADMINISTRATIVE AUTHORITY	05/12/2009
JOB RESPONSIBILITIES	03/09/1994
DIAGRAM/OUTDOOR	11/02/1994
DIAGRAM/INDOOR	08/29/2008
ARTICLES OF INCORPORATION	03/09/1994
DIRECTOR'S QUALIFICATIONS	06/15/2015
CHILD CARE PRACTICES	05/03/2017
DAILY SCHEDULE	05/03/2017
DISCIPLINE POLICIES	05/03/2017
POLICIES	05/03/2017
APPLICATION	02/22/2019
STAFF SHEET	02/22/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/03/2017
CERTIFICATE OF GOOD STANDING	06/01/2017
SANITATION INSPECTION	11/09/2021
EQUIPMENT LIST	02/09/2022
FIRE/SAFETY INSPECTION	01/10/2022
ANNUAL DECLARATION	02/09/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/09/2022

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 8

Total Children 26

Staff	Child	Class Age	Note
3	15	MIXED	Staff: Jared Sutton, Haylie Lowe, and Stephanie Shoop. Age range 3 years through 5 years.
2	11	MIXED	Staff: Mikaela Sullivan and Jennifer Scurlock. Age range 3 years through 5 years.
3	0	NO CHILDREN IN ATTENDANCE	Staff: Sheila Sullivan (Director), Deborah Moore (cook), Nancy Elliott (Family Advocate). These staff are not counted in child/staff ratio.

Compliance List
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.222 Records and Reports Compliance
5 CSR 25-600.020 General Requirements Compliance