MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Facility DVN
000749300

Phone
(660) 388-5911

Physical Address
618 S WEBER AVE
SALISBURY
MO 65281-1326

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
CROSS, KATHLEEN TARA

E-mail Address
crossk@mvcaa.net

Incorporated
Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
6 WEEKS - 5 YEARS

Capacity
38

Facility Type
GROUP HOME AND CENTER

Limitations
5 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
02/03/2023

Arrival Time
11:47 AM

Departure Time
12:17 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2440483256

Document	Document-Date
ARTICLES OF INCORPORATION	07/13/2018
CERTIFICATE OF GOOD STANDING	07/20/2018
DAILY SCHEDULE	07/20/2018
CHILD CARE PRACTICES	07/20/2018
DIAGRAM/INDOOR	07/13/2018
DIAGRAM/OUTDOOR	07/20/2018
LINES OF ADMINISTRATIVE AUTHORITY	07/20/2018
DIRECTOR'S QUALIFICATIONS	05/27/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/20/2018
JOB RESPONSIBILITIES	07/20/2018
LOCAL BUILDING APPROVAL	07/20/2018
SAMPLE FORMS	07/20/2018
SAFE SLEEP POLICY	07/20/2018
SAMPLE WEEKLY MENU	07/20/2018
LOCAL ZONING APPROVAL	07/20/2018
DISCIPLINE POLICIES	07/20/2018
POLICIES	07/20/2018
LLC ARTICLES OF ORGANIZATION	07/20/2018
APPLICATION	05/20/2020
STAFF SHEET	07/30/2020
SANITATION INSPECTION	08/01/2022
EQUIPMENT LIST	07/19/2022
FIRE/SAFETY INSPECTION	07/06/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/19/2022
ANNUAL DECLARATION	07/07/2022

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 4

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	7 months-2 years 1- under the age of 2 years Kathleen Cross, staff


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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
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 Not Observed
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 Not Observed
5 CSR 25-500.222 Records and Reports Not Observed
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