DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

002353840

(636) 467-5495

895 BARDOT ST
ST CLAIR
MO  63077-1701

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

PO BOX 920
HILLSBORO
MO  63050

BROEKER, PAMELA ELAINE

afinder@jfcac.org

Incorporated

ALLA GERASIMOVA

36 MONTHS - 5 YEARS

15

GROUP HOME AND CENTER

 
Inspection Information

11/22/2022

10:52 AM

11:56 AM

UNANNOUNCED

COMPLIANCE MONITORING

2435846695


DocumentDocument-Date
SAMPLE WEEKLY MENU 12/28/2012
SAMPLE FORMS 12/28/2012
POLICIES 12/28/2012
LINES OF ADMINISTRATIVE AUTHORITY 12/28/2012
JOB RESPONSIBILITIES 12/28/2012
DISCIPLINE POLICIES 12/28/2012
DIAGRAM/OUTDOOR 12/28/2012
DIAGRAM/INDOOR 12/28/2012
CHILD CARE PRACTICES 12/28/2012
ARTICLES OF INCORPORATION 12/28/2012
DAILY SCHEDULE 11/23/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/01/2018
STAFF SHEET 10/03/2018
EQUIPMENT LIST 10/18/2022
CERTIFICATE OF GOOD STANDING 10/03/2018
APPLICATION 10/03/2018
DIRECTOR'S QUALIFICATIONS 04/15/2020
ANNUAL DECLARATION 10/18/2022
FIRE/SAFETY INSPECTION 08/16/2022
SANITATION INSPECTION 09/13/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/18/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 1
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE AH is present for the inspection. No children in attendance due to a program closure for this week

 
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 Family Care Safety Registry check was not conducted for KK "supervisor"and LD "Board Chair" 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 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
Violation
 Provider Comments
Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: AH.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility has not submitted the approval request for proposed director: RH.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 1. B. states: Once the center director or group child care home provider is certificated by the department, the Center Director/Group Child Care Home Provider Approval Request form shall be submitted to the department and maintained on file at the facility. See Center Director/Group Child Care Home Provider Approval Request form, revised 2021 and 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
An approval request form shall be submitted to the department.

Correction Verification
Submit Documentation

Compliance Date

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