DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARK ACTION, INC.

000640926

(417) 924-8421

604 W COMMERCIAL ST
MANSFIELD
MO  65704-9543

OZARK ACTION, INC.



 

DIETZ, SANDRA JEAN

HS-EHSstateinspections@oaiwp.org

Incorporated

KATHLEEN WILSON

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/17/2023

12:15 PM

2:31 PM

UNANNOUNCED

COMPLIANCE MONITORING

2445390526


DocumentDocument-Date
LOCAL BUILDING APPROVAL 08/12/1994
DISCIPLINE POLICIES 06/06/1995
DAILY SCHEDULE 06/06/1995
CHILD CARE PRACTICES 06/06/1995
POLICIES 06/06/1995
SAMPLE FORMS 06/06/1995
LOCAL ZONING APPROVAL 06/06/1995
OWNER/PROVIDER REFERENCES 06/06/1995
SAMPLE WEEKLY MENU 06/06/1995
DIAGRAM/INDOOR 04/10/1997
DIAGRAM/OUTDOOR 04/10/1997
DIRECTOR'S QUALIFICATIONS 09/13/2011
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 03/14/2018
CERTIFICATE OF GOOD STANDING 09/01/2020
FIRE/SAFETY INSPECTION 03/14/2023
APPLICATION 03/05/2019
STAFF SHEET 04/01/2021
LINES OF ADMINISTRATIVE AUTHORITY 03/26/2019
JOB RESPONSIBILITIES 06/06/1995
ARTICLES OF INCORPORATION 06/06/1995
SANITATION INSPECTION 02/28/2023
ANNUAL DECLARATION 04/06/2023
EQUIPMENT LIST 04/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/06/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 6
Total Children 13
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Joanie Shropshire (Assist Director) and Rebecca Madewell (cook) present without children to supervise.
1 0 NO CHILDREN IN ATTENDANCE Contessa Southworth from central office at West Plains was present as she observed the behavior of a single child.
1 0 NO CHILDREN IN ATTENDANCE Chad Keeling (assist teacher from morning session) was present working on lesson plans but without children to supervise.
2 13 PRESCHOOL Whitneigh Harrison and Shandell Stewart with thirteen children ages 3-5 years old.

 
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 Kendra Porter 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

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
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by Shandell Stewart's form is missing the Yes/No response that she is in good health, and Sandra Dietz's form is missing the marked boxes that she has no limitations or restrictions.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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