MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

Facility DVN
001481963

Phone
(636) 583-0657

Physical Address
5008 HWY N
ROBERTSVILLE
MO 63072

Owner
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

Mailing Address
PO BOX 920
HILLSBORO
MO 63050-0920

Provider/Director
ROCHE, TIFFANY DAWN

E-mail Address
kkorman@jfcac.org

Incorporated
Incorporated

Child Care Specialist
ALLA GERASIMOVA

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
02/23/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2441918871

Document	Document-Date
LOCAL FIRE DEPARTMENT NOTIFICATION	03/19/2018
LINES OF ADMINISTRATIVE AUTHORITY	10/10/2017
CERTIFICATE OF GOOD STANDING	03/02/2021
SANITATION INSPECTION	04/08/2021
LOCAL BUILDING APPROVAL	01/15/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/22/2021
POLICIES	02/21/2018
LOCAL ZONING APPROVAL	01/15/2019
CHILD CARE PRACTICES	02/21/2018
APPLICATION	10/10/2018
DISCIPLINE POLICIES	02/21/2018
DIRECTOR'S QUALIFICATIONS	01/22/2020
JOB RESPONSIBILITIES	10/10/2017
SAMPLE WEEKLY MENU	10/10/2017
STAFF SHEET	01/15/2019
DAILY SCHEDULE	10/10/2017
DIAGRAM/INDOOR	10/10/2017
DIAGRAM/OUTDOOR	10/10/2017
ARTICLES OF INCORPORATION	10/10/2017
EQUIPMENT LIST	03/03/2022
FIRE/SAFETY INSPECTION	01/23/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/03/2022
ANNUAL DECLARATION	03/14/2022

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.

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 Violation
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