DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

EAST MISSOURI ACTION AGENCY, INC.

002348909

(573) 218-9190

46 BIRCH TREE
FARMINGTON
MO  63640-7735

EAST MISSOURI ACTION AGENCY, INC.



 

MARLER, KRISTEN NICOLE

KMARLER@EASTMOAA.ORG

Incorporated

JESSICA SPENCER

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

05/03/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2446413240


DocumentDocument-Date
LOCAL BUILDING APPROVAL 08/31/2012
LOCAL ZONING APPROVAL 08/30/2012
DIRECTOR'S QUALIFICATIONS 08/31/2012
LLC ARTICLES OF ORGANIZATION 08/23/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/23/2012
ARTICLES OF INCORPORATION 08/23/2012
POLICIES 04/30/2012
JOB RESPONSIBILITIES 04/30/2012
DISCIPLINE POLICIES 04/30/2012
SAMPLE WEEKLY MENU 04/30/2012
DAILY SCHEDULE 04/30/2012
CHILD CARE PRACTICES 04/30/2012
DIAGRAM/OUTDOOR 08/22/2012
DIAGRAM/INDOOR 08/22/2012
CERTIFICATE OF GOOD STANDING 03/21/2018
STAFF SHEET 10/27/2020
APPLICATION 03/28/2020
EQUIPMENT LIST 04/06/2023
SANITATION INSPECTION 12/13/2022
FIRE/SAFETY INSPECTION 12/19/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/05/2022
ANNUAL DECLARATION 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: 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
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
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Cheryl Huitt
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date
4/10/2023
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Brooke Breedlove.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
4/10/2023
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