DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000606982

(573) 996-5059

1 HOSPITAL DR
DONIPHAN
MO  63935-1274

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 158
DONIPHAN
MO  63935-0158

ROBERTS, AMANDA RENEE

SCMCAA@HOTMAIL.COM

Incorporated

SARAH L THACKER

BIRTH - 5 YEARS

83

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

04/05/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2443169669


DocumentDocument-Date
LOCAL BUILDING APPROVAL 08/16/2022
POLICIES 08/16/2022
SAMPLE WEEKLY MENU 08/16/2022
SAFE SLEEP POLICY 08/16/2022
SAMPLE FORMS 08/16/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/16/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/16/2022
JOB RESPONSIBILITIES 08/16/2022
EQUIPMENT LIST 08/16/2022
DISCIPLINE POLICIES 08/16/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/16/2022
DIRECTOR'S QUALIFICATIONS 08/11/2022
DAILY SCHEDULE 08/16/2022
CERTIFICATE OF GOOD STANDING 08/16/2022
DIAGRAM/OUTDOOR 07/11/2022
DIAGRAM/INDOOR 07/11/2022
CHILD CARE PRACTICES 08/16/2022
ARTICLES OF INCORPORATION 08/16/2022
APPLICATION 07/13/2022
SANITATION INSPECTION 09/28/2022
FIRE/SAFETY INSPECTION 08/22/2022




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.

 
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
Violation
 Provider Comments
Violation
The observed surface area under trike ring, from which a child might fall consists of concrete.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
3/14/2023
Violation
The observed surface area under toddler tree climbers, from which a child might fall consists of grass.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

Correction Verification
Submit Documentation

Compliance Date
3/15/2023
Violation
Hazardous items as follows were accessible to children: Jock Itch Spray. The item(s) was/were located in the end cabinet near the bathroom in classroom 6.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date
3/14/2023
Violation
Hazardous items as follows were accessible to children: 1 bucket of floor adhesive. The item(s) was/were located in an unlocked storage room.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Submit Documentation

Compliance Date
3/14/2023
Violation
Children were not restricted to approved space as evidenced by the door leading into the agency building was unlocked as well as other doors down the hallway that were not approved for child care space.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date
3/14/2023
Violation
The premises were not safe and suitable as evidenced by there were 2 unsecured televisions, these were located in classroom 1 and classroom 2.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
3/14/2023
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
Violation
 Provider Comments
Violation
Stationary equipment, the red car and helicopter, was unsafe as evidenced by the equipment had exposed footings.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Submit Documentation

Compliance Date
4/3/2023
Violation
Stationary equipment, the red car and helicopter, was unsafe as evidenced by the equipment was not securely anchored.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Submit Documentation

Compliance Date
3/15/2023
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