DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000750361

(573) 325-8272

8120 STATE HIGHWAY 19
WINONA
MO  65588-8374

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 341
WINONA
MO  65588-0341

MAYS, MEGAN KATHLEEN

SCMCAA@HOTMAIL.COM

Incorporated

JESSICA SPENCER

BIRTH - 5 YEARS

28

GROUP HOME AND CENTER

4 CHILDREN IN THE INFANT/TODDLER UNIT; 2 CHILDREN UNDER 12 MONTHS
 
Inspection Information

09/13/2023

2:20 PM

4:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2454537774


DocumentDocument-Date
ARTICLES OF INCORPORATION 07/17/2018
CHILD CARE PRACTICES 07/17/2018
DAILY SCHEDULE 07/17/2018
DIAGRAM/INDOOR 07/17/2018
DIAGRAM/OUTDOOR 07/17/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/17/2018
DISCIPLINE POLICIES 07/17/2018
SAMPLE WEEKLY MENU 07/17/2018
SAFE SLEEP POLICY 07/17/2018
POLICIES 07/17/2018
LOCAL ZONING APPROVAL 07/17/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 07/17/2018
LOCAL BUILDING APPROVAL 07/17/2018
LINES OF ADMINISTRATIVE AUTHORITY 07/17/2018
JOB RESPONSIBILITIES 07/17/2018
DIRECTOR'S QUALIFICATIONS 07/02/2018
APPLICATION 07/06/2020
SANITATION INSPECTION 04/05/2023
CERTIFICATE OF GOOD STANDING 11/09/2021
EQUIPMENT LIST 07/05/2023
ANNUAL DECLARATION 07/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/05/2023
FIRE/SAFETY INSPECTION 11/22/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 5
Total Children 13
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Sherrie Keeling-Family Advocate/Site Supervisor Whitney Shepherd-Caregiver Meaghan Trotter-Cook
3 13 PRESCHOOL Caregivers: Megan Mays, Abigail Hough and Carrie Underwood with thirteen children ages three years of age to five years of age.

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
 Provider Comments
Violation
The annual fire safety inspection was not approved.
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

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the foam covering located along the bottom of the pavilion was torn.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

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
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by the facility used the correct form; however, the medical provider failed to select whether or not the staff member was in good physical and emotional health and free of contagious disease .
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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