DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670653

(660) 727-2622

157 E COMMERCIAL ST
KAHOKA
MO  63445-1701

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

PO BOX 966
KIRKSVILLE
MO  63501

SHOUP, CHRISTINA E

cshoup@capnemo.ORG

Incorporated

BETHANY CARRELL DUCKWORTH

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

12/01/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2436323706


DocumentDocument-Date
DAILY SCHEDULE 04/16/2018
CHILD CARE PRACTICES 08/29/2008
DISCIPLINE POLICIES 08/29/2008
LINES OF ADMINISTRATIVE AUTHORITY 08/29/2008
POLICIES 08/29/2008
ARTICLES OF INCORPORATION 09/30/1996
JOB RESPONSIBILITIES 09/30/1996
LOCAL ZONING APPROVAL 09/30/1996
DIRECTOR'S QUALIFICATIONS 06/19/2015
SAMPLE WEEKLY MENU 09/30/1996
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/29/2008
DIAGRAM/INDOOR 09/30/1996
DIAGRAM/OUTDOOR 09/30/1996
CERTIFICATE OF GOOD STANDING 04/17/2018
APPLICATION 01/14/2020
STAFF SHEET 01/14/2020
FIRE/SAFETY INSPECTION 12/07/2021
EQUIPMENT LIST 02/09/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/09/2022
ANNUAL DECLARATION 02/09/2022
SANITATION INSPECTION 03/08/2022




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.

 
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
Violation
 Provider Comments
Violation
The facility did not conduct a Family Care Safety Registry screening for Keelie Murphy (volunteer), who was hired on 9-12-2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date
11/30/2022
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Marsha Stewart and Keelie Murphy (volunteer).
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
11/30/2022
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