MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Facility DVN
002152834

Phone
(660) 665-7780

Physical Address
1011 S JAMISON ST
KIRKSVILLE
MO 63501-3986

Owner
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
MOORE, DENIECE PATRICIA

E-mail Address
deniece.moore@capnemo.org

Incorporated
Incorporated

Child Care Specialist
BETHANY CARREL DUCKWORTH

Age Range
6 WEEKS - 5 YEARS

Capacity
52

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
04/10/2023

Arrival Time
9:00 AM

Departure Time
9:31 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2444731242

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	10/18/2010
JOB RESPONSIBILITIES	07/03/2012
DAILY SCHEDULE	10/18/2010
POLICIES	10/18/2010
DISCIPLINE POLICIES	10/18/2010
CHILD CARE PRACTICES	10/18/2010
DIAGRAM/OUTDOOR	10/08/2010
DIAGRAM/INDOOR	10/06/2010
LOCAL ZONING APPROVAL	10/08/2010
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/04/2018
SAMPLE WEEKLY MENU	08/01/2010
SAFE SLEEP POLICY	01/05/2016
CERTIFICATE OF GOOD STANDING	02/05/2020
APPLICATION	06/04/2020
STAFF SHEET	06/04/2020
SANITATION INSPECTION	11/01/2022
FIRE/SAFETY INSPECTION	02/08/2023
EQUIPMENT LIST	10/18/2022
ANNUAL DECLARATION	10/18/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/18/2022
DIRECTOR'S QUALIFICATIONS	06/08/2022

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 8

Total Children 28

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Staff: Jennifer Smith. Age range 7 months through 9 months.
2	9	MIXED	Staff: Natousha Moots and Pazleigh Ellsworth. Age range 3 years through 5 years.
2	9	MIXED	Staff: Kaeshawna Williams and Tara Bell. Age range 3 years through 5 years.
2	6	MIXED	Staff: Laurie Elliott and Lacey Brimer. Age range 19 months through 2 years. Three 2 year old children.
1	0	NO CHILDREN IN ATTENDANCE	Staff: Deneice Moore. Director. Not counted in C/S ratio.

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 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 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