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
001380876

Phone
(660) 754-6288

Physical Address
505 WELSH DR
WAYLAND
MO 63472

Owner
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
WOLFE, JILL MARIE

E-mail Address
kcampbell@capnemo.org

Incorporated
Incorporated

Child Care Specialist
BETHANY CARRELL DUCKWORTH

Age Range
6 WEEKS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
11/30/2022

Arrival Time
1:25 PM

Departure Time
1:49 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2436066365

Document	Document-Date
SAMPLE FORMS	01/16/2014
SAMPLE WEEKLY MENU	01/16/2014
DAILY SCHEDULE	01/16/2014
CHILD CARE PRACTICES	01/16/2014
DIAGRAM/OUTDOOR	01/16/2014
DIAGRAM/INDOOR	01/16/2014
APPLICATION	01/20/2019
STAFF SHEET	03/12/2019
SAFE SLEEP POLICY	10/31/2018
LINES OF ADMINISTRATIVE AUTHORITY	01/16/2014
DISCIPLINE POLICIES	01/16/2014
POLICIES	01/16/2014
ARTICLES OF INCORPORATION	10/30/1967
JOB RESPONSIBILITIES	07/15/1999
CERTIFICATE OF GOOD STANDING	09/20/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/15/2020
DIRECTOR'S QUALIFICATIONS	02/24/2021
FIRE/SAFETY INSPECTION	02/28/2022
SANITATION INSPECTION	03/15/2022
EQUIPMENT LIST	04/04/2022
ANNUAL DECLARATION	04/04/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/04/2022

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 3

Total Children 2

Staff	Child	Class Age	Note
1	2	INFANTS AND TODDLERS	Staff: J.W. Age range 17 months through 23 months.
2	0	NO CHILDREN IN ATTENDANCE	Staff: K.H. and D.E. No preschool children in attendance. Preschool children leave facility at noon.

Compliance List
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