DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670644

(660) 665-6284

915 W LOCUST
KIRKSVILLE
MO  63501

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

SULLIVAN, SHEILA DENISE

ssullivan@capnemo.org

Incorporated

BETHANY CARREL DUCKWORTH

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

03/10/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2442766095


DocumentDocument-Date
SAMPLE WEEKLY MENU 03/09/1994
LOCAL ZONING APPROVAL 03/09/1994
LINES OF ADMINISTRATIVE AUTHORITY 05/12/2009
JOB RESPONSIBILITIES 03/09/1994
DIAGRAM/OUTDOOR 11/02/1994
DIAGRAM/INDOOR 08/29/2008
ARTICLES OF INCORPORATION 03/09/1994
DIRECTOR'S QUALIFICATIONS 06/15/2015
CHILD CARE PRACTICES 05/03/2017
DAILY SCHEDULE 05/03/2017
DISCIPLINE POLICIES 05/03/2017
POLICIES 05/03/2017
APPLICATION 02/22/2019
STAFF SHEET 02/22/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/03/2017
CERTIFICATE OF GOOD STANDING 06/01/2017
SANITATION INSPECTION 11/10/2022
EQUIPMENT LIST 02/01/2023
FIRE/SAFETY INSPECTION 12/20/2022
ANNUAL DECLARATION 02/01/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/01/2023




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.

 
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
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Stephanie Shoop within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
3/9/2023
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