DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WORTH COUNTY HEAD START

000603574

(660) 564-3616

508 E 6TH
GRANT CITY
MO  64456

COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI

PO BOX 328
MARYVILLE
MO  64468

COVEY, ASHLEY RENEE

LAUFFERT@CSINWMO.ORG

Incorporated

KATIE BRUGGEMAN

36 MONTHS - 6 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

08/21/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2453315392


DocumentDocument-Date
DAILY SCHEDULE 12/13/2002
ARTICLES OF INCORPORATION 12/20/2002
DIAGRAM/OUTDOOR 08/30/2001
DIAGRAM/INDOOR 08/30/2001
LOCAL ZONING APPROVAL 03/22/2007
LOCAL BUILDING APPROVAL 03/22/2007
CHILD CARE PRACTICES 10/03/1994
JOB RESPONSIBILITIES 10/03/1994
LINES OF ADMINISTRATIVE AUTHORITY 10/03/1994
POLICIES 10/03/1994
SAMPLE WEEKLY MENU 10/03/1994
DIRECTOR'S QUALIFICATIONS 10/12/2018
APPLICATION 03/15/2019
STAFF SHEET 11/09/2020
CERTIFICATE OF GOOD STANDING 05/03/2022
REGISTERING FICTITIOUS NAMES 05/03/2022
SANITATION INSPECTION 02/03/2023
ANNUAL DECLARATION 05/11/2023
FIRE/SAFETY INSPECTION 08/17/2023
EQUIPMENT LIST 05/11/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/11/2023




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
Violation
 Provider Comments
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
8/17/2023
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