MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
001471303

Phone
(573) 642-3201

Physical Address
1600 WESTMINSTER AVE
FULTON
MO 65251

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
NEWCOM, TRACY LYNN

E-mail Address
teressah@cmca.us

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
06/08/2023

Arrival Time
10:30 AM

Departure Time
11:43 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2448738121

Document	Document-Date
SANITATION INSPECTION	04/13/2023
FIRE/SAFETY INSPECTION	05/25/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/27/2023
EQUIPMENT LIST	04/27/2023
ANNUAL DECLARATION	04/27/2023
LINES OF ADMINISTRATIVE AUTHORITY	04/13/2000
JOB RESPONSIBILITIES	03/20/2012
ARTICLES OF INCORPORATION	04/27/2000
CHILD CARE PRACTICES	03/20/2012
SAMPLE WEEKLY MENU	03/20/2012
DAILY SCHEDULE	04/30/2010
POLICIES	03/20/2012
DIAGRAM/OUTDOOR	03/09/2010
DIAGRAM/INDOOR	03/09/2010
LOCAL BUILDING APPROVAL	03/05/2014
LOCAL ZONING APPROVAL	03/05/2014
DIRECTOR'S QUALIFICATIONS	05/03/2016
CERTIFICATE OF GOOD STANDING	04/05/2018
STAFF SHEET	04/05/2018
APPLICATION	01/24/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/20/2012
DISCIPLINE POLICIES	03/20/2012
LOCAL FIRE DEPARTMENT NOTIFICATION	03/20/2012
SAMPLE FORMS	03/20/2012
SAFE SLEEP POLICY	03/20/2012
LICENSING ORIENTATION	03/20/2012

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 9

Total Children 21

Staff	Child	Class Age	Note
3	15	MIXED	children ages three to five; Ashley Gallbreath, Summer Nunnelly, and Meghan Beauchem
3	6	MIXED	children ages 19 months to 27 months; Megan Travis-Trimble, Sierra Schwartz, and Destinee Bassett
3	0	NO CHILDREN IN ATTENDANCE	Tracy Newcom, Yolanda Sydnor, Katlyn Huskey, and Angel Rakes (cook)


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