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
001939531

Phone
(573) 443-1955

Physical Address
1402 W WORLEY ST
COLUMBIA
MO 65203

Owner
CENTRAL MISSOURI COMMUNITY ACTION

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

Provider/Director
EBERHARDT, KATELYNN

E-mail Address
katiee@cmca.us

Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
02/02/2023

Arrival Time
10:30 AM

Departure Time
11:06 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2440433320

Document	Document-Date
LOCAL BUILDING APPROVAL	08/18/2011
LOCAL ZONING APPROVAL	08/18/2011
DIAGRAM/OUTDOOR	03/03/2017
DIAGRAM/INDOOR	03/03/2017
ARTICLES OF INCORPORATION	08/22/2011
DIRECTOR'S QUALIFICATIONS	09/12/2014
CERTIFICATE OF GOOD STANDING	05/26/2015
CHILD CARE PRACTICES	08/22/2011
DISCIPLINE POLICIES	08/22/2011
DAILY SCHEDULE	08/22/2011
JOB RESPONSIBILITIES	08/22/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/22/2011
POLICIES	08/22/2011
SAMPLE FORMS	08/22/2011
SAMPLE WEEKLY MENU	08/22/2011
STAFF SHEET	06/23/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/26/2015
LOCAL FIRE DEPARTMENT NOTIFICATION	08/22/2011
SAFE SLEEP POLICY	05/26/2015
APPLICATION	06/12/2019
FIRE/SAFETY INSPECTION	07/19/2022
SANITATION INSPECTION	05/25/2022
EQUIPMENT LIST	07/07/2022
ANNUAL DECLARATION	07/07/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/07/2022
LICENSING ORIENTATION	08/22/2011

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 13

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Christina Kempf and Janett Ekstrom were the staff with the children. Children ranged in age from 2 months to 32 months.
2	6	INFANTS AND TODDLERS	Jordyn Nance and Toni Smith were the staff with the children. Children ranged in age from 5 months to 35 months.
2	0	NO CHILDREN IN ATTENDANCE	Additional staff at the facility: Katie Eberhardt and Kelly Thompson