DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

002137155

(573) 442-6399

1306 ELLETA BLVD
COLUMBIA
MO  65202-1854

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

HOUZENGA, ABBY

christines@cmca.us

Incorporated

LU A GAINES

BIRTH - 3 YEARS

8

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 8 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 8 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

08/15/2023

11:54 AM

12:27 PM

UNANNOUNCED

COMPLIANCE MONITORING

2452581829


DocumentDocument-Date
OWNER/PROVIDER REFERENCES 11/28/2012
ASSISTANT REFERENCES 11/28/2012
ASSISTANT APPROVAL REQUEST 11/28/2012
SAMPLE FORMS 01/13/2009
SAMPLE WEEKLY MENU 01/13/2009
DAILY SCHEDULE 01/13/2009
CHILD CARE/DISCIPLINE POLICIES 01/13/2009
POLICIES 01/13/2009
DIAGRAM/OUTDOOR 01/13/2009
DIAGRAM/INDOOR 01/13/2009
CERTIFICATE OF INCORPORATION 10/12/1994
ARTICLES OF INCORPORATION 10/12/1994
CERTIFICATE OF GOOD STANDING 04/18/2012
APPLICATION 12/04/2018
EQUIPMENT LIST 03/07/2023
SANITATION INSPECTION 12/15/2022
FIRE/SAFETY INSPECTION 10/19/2022
ANNUAL DECLARATION 03/08/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/07/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 2
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Staff Sheila Boland present on site for training. Katherine Morgan present during inspection only.

 
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Not Observed
5 CSR 25-400.055 Annual Requirements
Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Compliance
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Not Observed
5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
5 CSR 25-400.145 Nighttime Care
Not Observed
5 CSR 25-400.155 Overlap Care of Children
Not Observed
5 CSR 25-400.165 Emergency School Closings
Not Observed
5 CSR 25-400.175 Child Care Program
Violation
 Provider Comments
Violation
The diapering table or other approved area was not safe as evidenced by changing pad was on a counter top but had no barriers to prevent pad from sliding off the counter top or a child from rolling off.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (E) 1 states: A safe diapering table or other approved area with a waterproof, washable surface shall be used for changing diapers. The table or area shall be cleaned thoroughly with a disinfectant after each use.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.185 Health Care
Not Observed
5 CSR 25-400.190 Nutrition and Food Service
Not Observed
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance