DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

000725175

(573) 581-6806

801 E BRECKENRIDGE ST
MEXICO
MO  65265-2695

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

VOSHELL, PATRICIA SUE

pattyv@cmca.us

Incorporated

SUSAN MARIE DOUGLAS

6 WEEKS - 5 YEARS

49

GROUP HOME AND CENTER

18 CHILDREN UNDER 12 MONTHS; 20 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/15/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2436505341


DocumentDocument-Date
DISCIPLINE POLICIES 10/06/1995
DAILY SCHEDULE 11/09/1995
JOB RESPONSIBILITIES 09/22/2009
DIRECTOR'S QUALIFICATIONS 09/28/2006
SAMPLE FORMS 09/22/2009
ARTICLES OF INCORPORATION 09/13/1999
CHILD CARE PRACTICES 10/06/1995
SAMPLE WEEKLY MENU 10/06/1995
POLICIES 10/06/1995
DIAGRAM/OUTDOOR 07/07/1995
DIAGRAM/INDOOR 07/07/1995
LOCAL ZONING APPROVAL 11/22/1995
LOCAL BUILDING APPROVAL 11/22/1995
APPLICATION 07/08/2019
STAFF SHEET 07/17/2019
SAFE SLEEP POLICY 03/21/2016
LINES OF ADMINISTRATIVE AUTHORITY 07/02/2021
SANITATION INSPECTION 08/18/2022
FIRE/SAFETY INSPECTION 11/29/2022
CERTIFICATE OF GOOD STANDING 06/24/2022
EQUIPMENT LIST 06/24/2022
ANNUAL DECLARATION 11/17/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/24/2022




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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for N.F. 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
11/9/2022
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
11/29/2022
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
Safe sleep training was not completed within the past 3 years for the following staff S.H,.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date
12/9/2022
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
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