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
000670671

Phone
(660) 465-2514

Physical Address
238 N JOHNSON
MEMPHIS
MO 63555

Owner
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
CHANCE, PAMELA LYNN

E-mail Address
pchance@capnemo.org

Incorporated
Incorporated

Child Care Specialist
BETHANY CARREL DUCKWORTH

Age Range
BIRTH - 5 YEARS

Capacity
32

Facility Type
GROUP HOME AND CENTER

Limitations
12 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
06/13/2023

Arrival Time
11:30 AM

Departure Time
12:36 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2448864331

Document	Document-Date
ARTICLES OF INCORPORATION	01/24/1995
LOCAL ZONING APPROVAL	07/03/2006
JOB RESPONSIBILITIES	08/11/2006
DIRECTOR'S QUALIFICATIONS	05/16/2012
SAMPLE WEEKLY MENU	12/18/2013
POLICIES	12/18/2013
LINES OF ADMINISTRATIVE AUTHORITY	12/18/2013
DISCIPLINE POLICIES	12/18/2013
DIAGRAM/OUTDOOR	12/18/2013
DIAGRAM/INDOOR	12/18/2013
CERTIFICATE OF GOOD STANDING	12/18/2013
CHILD CARE PRACTICES	12/18/2013
DAILY SCHEDULE	04/13/2016
SAFE SLEEP POLICY	02/14/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/17/2019
APPLICATION	01/15/2020
STAFF SHEET	01/15/2020
SANITATION INSPECTION	05/05/2022
EQUIPMENT LIST	02/23/2023
ANNUAL DECLARATION	02/23/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/23/2023
FIRE/SAFETY INSPECTION	02/22/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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 6

Staff	Child	Class Age	Note
1	1	INFANTS AND TODDLERS	Staff: Pam Chance. One child age 3 months.
3	5	MIXED	Staff: Allison Herring, Katie Campbell, and Rachel Morrall. Age range 18 months through 2 years. Three 2 year old child.
2	0	NO CHILDREN IN ATTENDANCE	Staff: Krystal Phillips and Kim Smith. Not counting 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 Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
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
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