DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

EAST MISSOURI ACTION AGENCY, INC.

000725531

(573) 546-2185

321A S KNOB ST
IRONTON
MO  63650

EAST MISSOURI ACTION AGENCY, INC.



 

BRAKEFIELD, ALTHEA

ABRAKEFIELD@EASTMOAA.ORG

Incorporated

MELISSA JILL SMITH

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

10/04/2022

12:45 PM

1:46 PM

UNANNOUNCED

COMPLIANCE MONITORING

2432711417


DocumentDocument-Date
LOCAL ZONING APPROVAL 01/31/2014
CHILD CARE PRACTICES 09/01/2006
DAILY SCHEDULE 09/01/2006
DIRECTOR'S QUALIFICATIONS 08/30/2001
DISCIPLINE POLICIES 09/01/2006
JOB RESPONSIBILITIES 09/01/2006
LINES OF ADMINISTRATIVE AUTHORITY 09/01/2006
OWNER/PROVIDER REFERENCES 09/01/2006
POLICIES 09/01/2006
SAMPLE WEEKLY MENU 09/01/2006
CERTIFICATE OF GOOD STANDING 02/06/2018
DIAGRAM/INDOOR 02/06/2018
DIAGRAM/OUTDOOR 02/06/2018
APPLICATION 02/18/2020
SANITATION INSPECTION 02/01/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/05/2022
ANNUAL DECLARATION 01/24/2022
FIRE/SAFETY INSPECTION 01/03/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/05/2022
EQUIPMENT LIST 04/05/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 9
Total Children 23
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE AB-Director PB-Cook BT-Cook PH-Caregiver
2 12 PRESCHOOL Caregivers: CW and AF with twelve children ages three to five years of age.
3 11 PRESCHOOL Caregivers: TH, AH and CB with eleven children ages three to five years of age.

 
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 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

Violation
The Family Care Safety Registry check was not conducted for CB, AF, KE, DM and RK 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
5/31/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: CB needs 10 clock hours, AB needs 10 clock hours, KH needs 4 clock hours, TH needs 10 clock hours, AF needs 10 clock hours, PH needs 10 clock hours, CW needs 10 clock hours and CW needs 10 clock hours. As of 10/4/2022, PH needs 10 clock hours for 2021.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by the facility used the correct form; however, the medical provider failed to select whether or not the staff member was in good physical and emotional health and free of contagious disease. The medical provider also failed to state whether or not the staff member had any limitations or restrictions.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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