MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI OZARKS COMMUNITY ACTION, INC.

Facility DVN
002607325

Phone
(573) 668-0137

Physical Address
357 JOST ST
BOURBON
MO 65441-6182

Owner
MISSOURI OZARKS COMMUNITY ACTION, INC.

Mailing Address

Provider/Director
EICKELMANN, TANNA MARIE

E-mail Address
WRENNER@MOCACAA.ORG

Incorporated
Incorporated

Child Care Specialist
ALLA GERASIMOVA

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
11/01/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2434261388

Document	Document-Date
DIAGRAM/INDOOR	07/26/2016
DAILY SCHEDULE	07/26/2016
SAMPLE WEEKLY MENU	07/26/2016
ARTICLES OF INCORPORATION	04/26/2007
DISCIPLINE POLICIES	07/26/2016
CHILD CARE PRACTICES	07/26/2016
JOB RESPONSIBILITIES	07/26/2016
LINES OF ADMINISTRATIVE AUTHORITY	07/26/2016
POLICIES	07/27/2016
REGISTERING FICTITIOUS NAMES	06/26/2008
DIAGRAM/OUTDOOR	10/03/2016
CERTIFICATE OF GOOD STANDING	06/26/2008
LLC ARTICLES OF ORGANIZATION	11/10/1986
DIRECTOR'S QUALIFICATIONS	10/28/2016
STAFF SHEET	05/13/2020
APPLICATION	03/29/2022
EQUIPMENT LIST	02/24/2022
SANITATION INSPECTION	01/27/2022
FIRE/SAFETY INSPECTION	02/15/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/29/2022

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.