DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARKS AREA COMMUNITY ACTION CORPORATION

000681481

(417) 345-1522

915 N ASH ST
BUFFALO
MO  65622

OZARKS AREA COMMUNITY ACTION CORPORATION

215 S BARNES AVE
SPRINGFIELD
MO  65802-2204

POELMA, DEBORAH ANN; FARROW, JESSICA DEA

kshinnbrown@oac.ac

Incorporated

LACEY BERENDZEN

BIRTH - 6 YEARS

48

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

03/14/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2443011388


DocumentDocument-Date
APPLICATION 11/30/2020
DIRECTOR'S QUALIFICATIONS 02/17/2016
DAILY SCHEDULE 01/15/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/29/2021
JOB RESPONSIBILITIES 01/15/2021
STAFF SHEET 01/15/2021
SAMPLE FORMS 01/15/2021
POLICIES 01/15/2021
SAMPLE WEEKLY MENU 01/15/2021
CHILD CARE PRACTICES 01/15/2021
DISCIPLINE POLICIES 01/15/2021
LINES OF ADMINISTRATIVE AUTHORITY 01/15/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 01/11/2021
CERTIFICATE OF GOOD STANDING 01/15/2021
ARTICLES OF INCORPORATION 01/08/2021
LOCAL BUILDING APPROVAL 01/20/2021
LOCAL ZONING APPROVAL 01/20/2021
DIAGRAM/INDOOR 01/15/2021
DIAGRAM/OUTDOOR 01/15/2021
SAFE SLEEP POLICY 01/15/2021
FIRE/SAFETY INSPECTION 10/20/2022
EQUIPMENT LIST 01/02/2023
SANITATION INSPECTION 02/07/2023
ANNUAL DECLARATION 01/02/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/02/2023




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 annual sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
3/1/2023
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
Violation
 Provider Comments
Violation
Background screening information was not retained in the file for Emily Lindley, Olivia Yates and Trisha Zaring.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date
3/1/2023
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