DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

000280137

(573) 449-1575

403 PARK AVE STE B
COLUMBIA
MO  65201-4374

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

POULSEN, ASHLEY LYNN

ashleyp@cmca.us

Incorporated

LU A GAINES

6 WEEKS - 5 YEARS

53

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/15/2023

12:50 PM

2:54 PM

UNANNOUNCED

COMPLIANCE MONITORING

2452650952


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 03/27/2012
JOB RESPONSIBILITIES 10/12/1994
ARTICLES OF INCORPORATION 03/13/2006
CHILD CARE PRACTICES 09/25/2012
SAMPLE WEEKLY MENU 10/12/1994
DAILY SCHEDULE 09/10/2001
POLICIES 09/25/2012
DIAGRAM/OUTDOOR 09/10/2001
DIAGRAM/INDOOR 05/07/2001
LOCAL ZONING APPROVAL 02/01/1995
LOCAL BUILDING APPROVAL 02/01/1995
CERTIFICATE OF GOOD STANDING 11/22/2016
APPLICATION 12/05/2018
STAFF SHEET 12/05/2018
DISCIPLINE POLICIES 09/25/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/22/2008
SAMPLE FORMS 09/25/2012
ANNUAL DECLARATION 01/04/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/04/2023
EQUIPMENT LIST 01/04/2023
FIRE/SAFETY INSPECTION 12/08/2022
SANITATION INSPECTION 11/18/2022




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
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Staff Abike Akinmoladun and Mahasin Awadelkarim, present with children ages 5 months - 35 months old, with 3 children under 2 years old.
4 0 NO CHILDREN IN ATTENDANCE Director Ashley Poulsen, Kalia White, Ben Eoff and Michelle Merk present on site.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The floors located in the foyer and in front of the ladies' restroom was/were not in good condition as evidenced by tiles were missing and unsealed concrete was exposed..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The concrete floors located in the foyer and in front of the Ladies' restroom was/were not covered with approved materials as evidenced by new concrete poured for repairs was not sealed or covered with approved materials.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 7. states: Concrete floors in areas counted as child care space shall be covered with carpet, tile, linoleum or other floor covering.
Correction Required
Floors shall be made of approved materials.

Correction Verification
Submit Documentation

Compliance Date

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
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Michelle Merk needs 7.50 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
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
Not Observed
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 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.
Not Observed