MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
002829283

Phone
(573) 505-0253

Physical Address
26691 HIGHWAY 5
GRAVOIS MILLS
MO 65037-3340

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
WITTE, BREANNA FAYE

E-mail Address
breannaW@cmca.us

Incorporated
Incorporated

Child Care Specialist
LACEY BERENDZEN

Age Range
6 WEEKS - 6 YEARS

Capacity
28

Facility Type
GROUP HOME AND CENTER

Limitations
6 CHILDREN UNDER 12 MONTHS; 8 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
01/19/2023

Arrival Time
3:11 PM

Departure Time
4:48 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2439544858

Document	Document-Date
APPLICATION	10/28/2020
DIRECTOR'S QUALIFICATIONS	01/06/2021
ARTICLES OF INCORPORATION	11/05/2020
CERTIFICATE OF GOOD STANDING	11/05/2020
LINES OF ADMINISTRATIVE AUTHORITY	10/30/2020
DISCIPLINE POLICIES	11/03/2020
POLICIES	11/03/2020
CHILD CARE PRACTICES	11/03/2020
JOB RESPONSIBILITIES	10/30/2020
SAMPLE WEEKLY MENU	11/04/2020
SAMPLE FORMS	11/04/2020
SAFE SLEEP POLICY	12/09/2020
LOCAL FIRE DEPARTMENT NOTIFICATION	01/06/2021
LICENSING ORIENTATION	04/15/2020
DAILY SCHEDULE	01/15/2021
DIAGRAM/INDOOR	01/12/2021
DIAGRAM/OUTDOOR	01/22/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/21/2021
LOCAL BUILDING APPROVAL	01/15/2021
LOCAL ZONING APPROVAL	01/15/2021
SANITATION INSPECTION	09/08/2022
STAFF SHEET	12/21/2021
EQUIPMENT LIST	01/05/2023
FIRE/SAFETY INSPECTION	09/29/2022
ANNUAL DECLARATION	01/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/05/2023

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 6

Total Children 12

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Amber Eis and Bethany Morris with 6 children. One child 9 months, four children 1 year, and one child 2 years old.
1	0	NO CHILDREN IN ATTENDANCE	Breanna Witte - office
1	0	NO CHILDREN IN ATTENDANCE	Marry Berry in kitchen
2	6	PRESCHOOL	Rayanna Williams and Jesse Cox with 6 children, children age 3-5 years old.

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