MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Facility DVN
000606982

Phone
(573) 996-5059

Physical Address
1 HOSPITAL DR
DONIPHAN
MO 63935-1274

Owner
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Mailing Address
PO BOX 158
DONIPHAN
MO 63935-0158

Provider/Director
ROBERTS, AMANDA RENEE

E-mail Address
SCMCAA@HOTMAIL.COM

Incorporated
Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
BIRTH - 5 YEARS

Capacity
83

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
12/15/2022

Arrival Time
9:20 AM

Departure Time
10:34 AM

Notice
UNANNOUNCED

Inspection Type
POST LICENSING

Inspection ID
2437418401

Document	Document-Date
LOCAL BUILDING APPROVAL	08/16/2022
POLICIES	08/16/2022
SAMPLE WEEKLY MENU	08/16/2022
SAFE SLEEP POLICY	08/16/2022
SAMPLE FORMS	08/16/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/16/2022
LINES OF ADMINISTRATIVE AUTHORITY	08/16/2022
JOB RESPONSIBILITIES	08/16/2022
EQUIPMENT LIST	08/16/2022
DISCIPLINE POLICIES	08/16/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/16/2022
DIRECTOR'S QUALIFICATIONS	08/11/2022
DAILY SCHEDULE	08/16/2022
CERTIFICATE OF GOOD STANDING	08/16/2022
DIAGRAM/OUTDOOR	07/11/2022
DIAGRAM/INDOOR	07/11/2022
CHILD CARE PRACTICES	08/16/2022
ARTICLES OF INCORPORATION	08/16/2022
APPLICATION	07/13/2022
SANITATION INSPECTION	09/28/2022
FIRE/SAFETY INSPECTION	08/22/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 8

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 23

Total Children 57

Staff	Child	Class Age	Note
3	4	INFANTS AND TODDLERS	Teachers SH, NA and RC with children ages 13 months to 18 months.
3	7	MIXED	Teachers LH, JP and SB with children ages 1 month to 24 months.
2	6	MIXED	Teachers EE and JM with 1 child 2 years of age and 5 children 3 years of age.
5	0	NO CHILDREN IN ATTENDANCE	Additional employees present not counted in ratio include the Director AR, Family Advocates KB and KW, and Cooks JH and SG.
3	12	PRESCHOOL	Teachers SM, SC and FW with children ages 3 to 5.
2	11	PRESCHOOL	Teachers JP and BC with children ages 3 to 5.
3	11	PRESCHOOL	Teachers RR and HS along with Education Mentor RE with children ages 3 to 4.
2	6	TWO YEAR OLDS	Teachers PF and SL with children 2 years of age.

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 Violation
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 Violation
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