MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CHA LOW-INCOME SERVICES, INC.

Facility DVN
002331060

Phone
(573) 443-2556

Physical Address
310 N PROVIDENCE RD
COLUMBIA
MO 65203

Owner
CHA LOW-INCOME SERVICES, INC.

Mailing Address
201 SWITZLER ST
COLUMBIA
MO 65203

Provider/Director
BROOKS, JANICE LASHAUN

E-mail Address
jbrooks@columbiaha.com

Incorporated
Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
5 YEARS - 16 YEARS

Capacity
99

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
11/17/2022

Arrival Time
4:00 PM

Departure Time
5:09 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2435676320

Document	Document-Date
DISCIPLINE POLICIES	04/19/2012
LINES OF ADMINISTRATIVE AUTHORITY	05/01/2012
JOB RESPONSIBILITIES	05/01/2012
DIRECTOR'S QUALIFICATIONS	04/25/2012
SAMPLE FORMS	04/19/2012
CHILD CARE PRACTICES	04/19/2012
SAMPLE WEEKLY MENU	05/01/2012
DAILY SCHEDULE	05/01/2012
POLICIES	04/19/2012
DIAGRAM/OUTDOOR	05/01/2012
DIAGRAM/INDOOR	04/09/2012
CERTIFICATE OF GOOD STANDING	12/27/2011
ARTICLES OF INCORPORATION	04/28/2003
LOCAL ZONING APPROVAL	05/01/2012
LOCAL BUILDING APPROVAL	05/01/2012
APPLICATION	03/12/2018
STAFF SHEET	05/10/2021
EQUIPMENT LIST	05/16/2022
ANNUAL DECLARATION	06/01/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/16/2022
FIRE/SAFETY INSPECTION	06/14/2022
SANITATION INSPECTION	03/18/2022

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 13

Total Children 62

Staff	Child	Class Age	Note
3	0	NO CHILDREN IN ATTENDANCE	Additional staff at the facility : MF (asst director), JB (director) and CG.
2	16	SCHOOL AGE	DS and MF were the staff with the children. Children ranged in age from 5 years to 13 years.
1	3	SCHOOL AGE	VL was the staff with the children. Children ranged in age from 5 years to 7 years.
2	19	SCHOOL AGE	KC and LL were the staff with the children. Children range in age from 7 years to 12 years.
1	2	SCHOOL AGE	AS was the staff with the children. Children ranged in age from 5 years to 6 years.
4	22	SCHOOL AGE	HC, LK, PW and JJ were the staff with the children outside. The children ranged in age from 5 years to 14 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 Compliance
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